Provider Demographics
NPI:1447278015
Name:WINCHESTER URGENT CARE PC
Entity type:Organization
Organization Name:WINCHESTER URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-665-0084
Mailing Address - Street 1:2505 VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2761
Mailing Address - Country:US
Mailing Address - Phone:540-665-0084
Mailing Address - Fax:540-665-9569
Practice Address - Street 1:2505 VALLEY AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2761
Practice Address - Country:US
Practice Address - Phone:540-665-0084
Practice Address - Fax:540-665-9569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232089207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G14639Medicare UPIN
VAC08507Medicare PIN