Healthcare Provider Details

I. General information

NPI: 1992641385
Provider Name (Legal Business Name): WELLCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 MERRYBROOK DR APT 303
HERNDON VA
20171-3468
US

IV. Provider business mailing address

2401 MERRYBROOK DR APT 303
HERNDON VA
20171-3468
US

V. Phone/Fax

Practice location:
  • Phone: 571-663-6179
  • Fax:
Mailing address:
  • Phone: 571-663-6179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD A SIKANDAR
Title or Position: MANAGER
Credential:
Phone: 571-663-6179