MEDICARE: FAST MEDICAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1023638327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAST MEDICAL CARE LLC

Provider Business Mailing Address
First Line	:	342 MAIN AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-2063
Country	:	US
Telephone Number	:	916-299-9896
Fax Number	:	916-299-9941

Provider Business Practice Location Address
First Line	:	342 MAIN AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-2063
Country	:	US
Telephone Number	:	916-299-9896
Fax Number	:	916-299-9941

Authorized Official
Title or Position	:	CEO
Name	:	IQBAL H NAQVI
Credential	:
Telephone Number	:	916-299-9896

Provider Enumeration Date	:	04/16/2020
Last Update Date	:	09/28/2020

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Directions to “FAST MEDICAL CARE LLC ” Practice Location

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