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NPI Code Detail

MEDICARE: UNITED MEDICAL CLINIC, LLC

MEDICARE: UNITED MEDICAL CLINIC, LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207RE0101XEndocrinology, Diabetes & Metabolism Physician
3208000000XPediatrics Physician
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1396046108
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED MEDICAL CLINIC, LLC
Provider Business Mailing Address
First Line : 161 BECKS WOODS DR
Second Line :
City : BEAR
State : DE
Zip : 19701-3833
Country : US
Telephone Number : 302-266-9166
Fax Number : 866-670-8036
Provider Business Practice Location Address
First Line : 121 BECKS WOODS DR STE 100
Second Line :
City : BEAR
State : DE
Zip : 19701-3853
Country : US
Telephone Number : 302-261-5600
Fax Number : 302-836-4302
Authorized Official
Title or Position : OWNER
Name : KEMAL ERKAN
Credential : FACHE
Telephone Number : 302-451-5600
Provider Enumeration Date : 11/10/2010
Last Update Date : 02/16/2023

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Directions to “UNITED MEDICAL CLINIC, LLC ” Practice Location

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