Organization Active NPI

Mehboob Ahmed

  • Urgent Care Clinic/Center
  • Alexandria, VA
National Provider Identifier
1104004092
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
0101033871 Issued in VA
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

Updated by the provider on Feb 4, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
220480OtherVABLUECROSSBLUESHIELD

Other names 1

  • AAA Urgent Care 24 Hour Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.