MEDICARE: EXPRESS HEALTHCARE, 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
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1598994733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPRESS HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 549
Second Line	:
City	:	RIVERDALE
State	:	MD
Zip	:	20738-0549
Country	:	US
Telephone Number	:	301-441-1112
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 GREENBELT RD STE M15
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2333
Country	:	US
Telephone Number	:	301-441-1112
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMAL FADUL
Credential	:	M.D.
Telephone Number	:	301-441-1112

Provider Enumeration Date	:	07/09/2009
Last Update Date	:	04/28/2025

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Directions to “EXPRESS HEALTHCARE, LLC ” Practice Location

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