# RICHMOND URGENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134438476
- **Authorized official:** DR. KHALED A MOUSTAFA (PRESIDENT)
- **Authorized official phone:** (616) 717-8642

## Contact information

- **Practice address:** 3420 GAYTON MEADOWS TERRACE, RICHMOND, VA 23233
- **Practice address phone:** (804) 615-5060
- **Practice address fax:** (804) 364-3520
- **Mailing address:** 3420 GAYTON MEADOWS TER, RICHMOND, VA 23233-6647
- **Mailing address phone:** (804) 615-5060
- **Mailing address fax:** (804) 364-3520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101243031 | VA | Yes |

## Other

- **Enumeration date:** 10/05/2010
- **Last updated:** 03/09/2011