Provider Demographics
NPI:1902128721
Name:PENNSYLVANIA URGENT CARE CENTERS, PLLC
Entity Type:Organization
Organization Name:PENNSYLVANIA URGENT CARE CENTERS, PLLC
Other - Org Name:AFC URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MADHAVI
Authorized Official - Middle Name:V
Authorized Official - Last Name:CHERUKURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-306-1099
Mailing Address - Street 1:150 E PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2632
Mailing Address - Country:US
Mailing Address - Phone:610-518-1060
Mailing Address - Fax:610-518-1016
Practice Address - Street 1:150 E PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2632
Practice Address - Country:US
Practice Address - Phone:610-518-1060
Practice Address - Fax:610-518-1016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-21
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA435698261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care