Active NPI
Mehboob Ahmed
- Urgent Care Clinic/Center
- Alexandria, VA
National Provider Identifier
1104004092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 0101033871
- Legal business name
- MEHBOOB AHMED
- Practice address
- 2500 N Van Dorn St
Ste. 106
Alexandria, VA 22302-1626 - Phone
- (703) 354-6665
- NPI assigned
- Feb 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mehboob Ahmed
- Title
- Owner
- Phone
- (703) 354-6665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 0101033871 | VA | Primary |
Addresses
Primary practice location
2500 N Van Dorn St
Ste. 106
Alexandria, VA 22302-1626
Mailing address
2500 N Van Dorn St
Ste. 106
Alexandria, VA 22302-1626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220480 | Other | VA | BLUECROSSBLUESHIELD |
Other names 1
- AAA Urgent Care 24 Hour
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202083200000",
"number": "1104004092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N VAN DORN ST",
"address_2": "STE. 106",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223021626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N VAN DORN ST",
"address_2": "STE. 106",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223021626",
"telephone_number": "703-354-6665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEHBOOB AHMED",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-04",
"last_updated": "2008-02-04",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "MEHBOOB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-354-6665",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "VA",
"license": "0101033871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "220480",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AAA Urgent Care 24 Hour",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.