Healthcare Provider Details
I. General information
NPI: 1326212341
Provider Name (Legal Business Name): WALK-IN MEDICAL CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2008
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6712 ARLINGTON BLVD
FALLS CHURCH VA
22042-2105
US
IV. Provider business mailing address
6712 ARLINGTON BLVD
FALLS CHURCH VA
22042-2105
US
V. Phone/Fax
- Phone: 703-534-8007
- Fax: 703-534-2394
- Phone: 703-534-8007
- Fax: 703-534-2394
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 0101045529 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 0101057266 |
| License Number State | VA |
VIII. Authorized Official
Name:
ARSHAD
PERVZ
CHEEMA
Title or Position: DIRECTOR
Credential: M.D.
Phone: 703-534-8007