Healthcare Provider Details

I. General information

NPI: 1316799638
Provider Name (Legal Business Name): AMERICAN WOUND CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6095 MARSHALEE DR STE 130
ELKRIDGE MD
21075-6082
US

IV. Provider business mailing address

8150 LEESBURG PIKE STE 180B
VIENNA VA
22182-7714
US

V. Phone/Fax

Practice location:
  • Phone: 410-885-4727
  • Fax: 888-557-9724
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: SYED NAQVI
Title or Position: OWNER
Credential:
Phone: 251-901-3011