Reliance Walk in Medical, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

RELIANCE WALK IN MEDICAL, LLC

Practice address

131 Becks Woods Dr
Bear, DE 19701-3833

Phone

(667) 215-0159

NPI assigned

Sep 11, 2017

Last updated

Sep 21, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Qayyum Nazar, MD

Title

Managing Member

Phone

(667) 215-0159

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1720507742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197010188",
            "telephone_number": "667-215-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BECKS WOODS DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013833",
            "telephone_number": "667-215-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE WALK IN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "NAZAR",
        "authorized_official_first_name": "QAYYUM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "667-215-0159",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Bear, DE
• Providers in Bear, DE by specialty
• Urgent Care Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.