Martinsburg Urgent Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

WV20620 Issued in WV

Legal business name

MARTINSBURG URGENT CARE INC

Practice address

51 Street of Dreams
Martinsburg, WV 25403-1134

Phone

(304) 264-1442

Fax

(304) 264-4317

NPI assigned

Jul 23, 2010

Organization subpart

No

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

Authorized official

Name

Shahnoor Khan, MD

Title

MD

Phone

(703) 400-3433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1760795405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STREET OF DREAMS",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031134",
            "telephone_number": "304-264-1442",
            "fax_number": "304-264-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STREET OF DREAMS",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031134",
            "telephone_number": "304-264-1442",
            "fax_number": "304-264-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSBURG URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHNOOR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "703-400-3433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV20620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.