| Urgent Care Richmond | |
|
8905 Fargo Rd Henrico VA 23229-4554 | |
| (804) 615-5060 | |
| (804) 364-3520 |
| Full Name | Urgent Care Richmond |
|---|---|
| Speciality | Pediatrics |
| Location | 8905 Fargo Rd, Henrico, Virginia |
| Authorized Official Name and Position | Manal Moharram (OWNER) |
| Authorized Official Contact | 8046155060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Richmond 8905 Fargo Rd Henrico VA 23229-4554 Ph: (804) 615-5060 | Urgent Care Richmond 8905 Fargo Rd Henrico VA 23229-4554 Ph: (804) 615-5060 |
| NPI Number | 1912463472 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 6305285933 |
|---|---|
| Medicare Enrollment ID | O20240416002056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912463472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Manal Moharram |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831309921 PECOS PAC ID: 2668533696 Enrollment ID: I20110312000100 |
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