Healthcare Provider Details
I. General information
NPI: 1275091316
Provider Name (Legal Business Name): MEDICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2019
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17 E FRANKLIN ST
BALTIMORE MD
21202-1400
US
IV. Provider business mailing address
17 E FRANKLIN ST
BALTIMORE MD
21202-1400
US
V. Phone/Fax
- Phone: 410-599-9977
- Fax:
- Phone: 410-599-9977
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
IRFAN
SAEED
Title or Position: CEO
Credential: MD
Phone: 410-599-9977