Family Immediate Care,llc

NPI #1962893974 in Herndon, Virginia

Provider Information

NPI Number: 1962893974
Entity Type: Organization
Organization Name: Family Immediate Care,llc
Primary Specialty: Internal Medicine
Enumeration Date: Feb 12, 2015
Last Updated: Feb 12, 2015

Practice Location

Address: 420 ELDEN ST
City: Herndon
State: Virginia
ZIP Code: 20170-4511
Phone: (571) 218-5788

Authorized Official

Name: MRS. PHETPAILIN AMARALIKIT, M.D.
Title: PRESIDENT
Phone: (571) 218-5788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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