Provider Demographics
NPI:1871784496
Name:URGENT CARE HAYFIELD
Entity type:Organization
Organization Name:URGENT CARE HAYFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAJVINDER
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-778-0400
Mailing Address - Street 1:12449 HEDGES RUN DR
Mailing Address - Street 2:
Mailing Address - City:LAKE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-1715
Mailing Address - Country:US
Mailing Address - Phone:703-494-6160
Mailing Address - Fax:703-494-5558
Practice Address - Street 1:7598 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-3829
Practice Address - Country:US
Practice Address - Phone:703-778-0400
Practice Address - Fax:703-778-0444
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:URGENT MEDICAL CARE OF LAKE RIDGE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044287173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty