Provider Demographics
NPI:1912463472
Name:URGENT CARE RICHMOND
Entity type:Organization
Organization Name:URGENT CARE RICHMOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHARRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-615-5060
Mailing Address - Street 1:8905 FARGO RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4554
Mailing Address - Country:US
Mailing Address - Phone:804-615-5060
Mailing Address - Fax:804-364-3520
Practice Address - Street 1:8905 FARGO RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-4554
Practice Address - Country:US
Practice Address - Phone:804-615-5060
Practice Address - Fax:804-364-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty