Healthcare Provider Details

I. General information

NPI: 1871296459
Provider Name (Legal Business Name): XPRESS MED URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 SUMNER AVE
SPRINGFIELD MA
01108-2320
US

IV. Provider business mailing address

10 SKY VIEW DR
AVON CT
06001-2885
US

V. Phone/Fax

Practice location:
  • Phone: 413-726-9575
  • Fax:
Mailing address:
  • Phone: 860-856-1225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MANSOOR ANWER ZAIDI
Title or Position: OWNER
Credential: MD
Phone: 860-856-1225