Organization
PRIMARY AND URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHER B ANSARI MD (OWNER)
(540) 785-9900
Entity
Organization
Contact information
Practice address
231 GARRISONVILLE RD, SUITE 101, STAFFORD, VA 22554-1527
(540) 288-9888
(540) 288-0054
Mailing address
PO BOX 3910, FREDERICKSBURG, VA 22402-3910
(540) 785-9900
(540) 785-9960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010052483
VA PREMIER
VA
01
—
2160878
UNITED HEALTH CARE
VA
01
—
435980
ANTHEM BLUE CROSS BLUE SHIELD
VA
01
—
CK8010
RAILROAD MEDICARE
VA
01
—
J066
CARE FIRST
VA
Enumeration date
11/10/2006
Last updated
04/15/2013
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