Healthcare Provider Details

I. General information

NPI: 1881830925
Provider Name (Legal Business Name): MARYLAND URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2008
Last Update Date: 12/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9831 GREENBELT RD SUITE 103
LANHAM MD
20706-2202
US

IV. Provider business mailing address

9831 GREENBELT RD SUITE 103
LANHAM MD
20706-2202
US

V. Phone/Fax

Practice location:
  • Phone: 301-277-3555
  • Fax:
Mailing address:
  • Phone: 301-277-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberD50862
License Number StateMD

VIII. Authorized Official

Name: DR. SHERIF HASSAN
Title or Position: OWNER
Credential: MD
Phone: 301-277-3555