Organization
MED URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAHIM ELOUARDIGHI M.D. (MD/OWNER)
(703) 864-9159
Entity
Organization
Contact information
Practice address
24430 MILLSTREAM DR, STONE RIDGE, VA 20105-3098
(703) 864-9159
(703) 847-3189
Mailing address
4082 AIRLINE PKWY, CHANTILLY, VA 20151-3979
(703) 864-9159
(703) 847-3189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101236263
VA
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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