Healthcare Provider Details
I. General information
NPI: 1114320751
Provider Name (Legal Business Name): MD1STOP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2014
Last Update Date: 09/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2937 CURTIS KNOLL DR
DUBLIN OH
43017-1866
US
IV. Provider business mailing address
2937 CURTIS KNOLL DR
DUBLIN OH
43017-1866
US
V. Phone/Fax
- Phone: 614-734-0185
- Fax: 740-386-2640
- Phone: 614-734-0165
- Fax: 740-386-2640
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABID
RANA
Title or Position: CEO
Credential: M.D.
Phone: 614-734-0185