Provider Demographics
NPI:1730437773
Name:UNITED MEDICAL CLINIC, LLC
Entity type:Organization
Organization Name:UNITED MEDICAL CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ERKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-451-5600
Mailing Address - Street 1:131 CONTINENTAL DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4305
Mailing Address - Country:US
Mailing Address - Phone:302-451-5600
Mailing Address - Fax:
Practice Address - Street 1:1021 GILPIN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-3270
Practice Address - Country:US
Practice Address - Phone:302-656-5334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-23
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10009803207R00000X
DEC10009802207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty