Healthcare Provider Details

I. General information

NPI: 1457269938
Provider Name (Legal Business Name): UNITED SPORTFITS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 WALL ST STE 365
NEW YORK NY
10005-4301
US

IV. Provider business mailing address

99 WALL ST STE 365
NEW YORK NY
10005-4301
US

V. Phone/Fax

Practice location:
  • Phone: 713-912-0654
  • Fax: 872-309-2063
Mailing address:
  • Phone: 713-912-0654
  • Fax: 872-309-2063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. REHAN SHAH
Title or Position: OWNER
Credential:
Phone: 713-912-0654