Provider Demographics
NPI:1861750838
Name:RICHMOND PRIMARY CARE, PLLC
Entity type:Organization
Organization Name:RICHMOND PRIMARY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NUZHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:NAQVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-353-8041
Mailing Address - Street 1:1024 IVAL JAMES BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-7622
Mailing Address - Country:US
Mailing Address - Phone:859-353-8041
Mailing Address - Fax:859-353-8042
Practice Address - Street 1:1024 IVAL JAMES BLVD STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-7622
Practice Address - Country:US
Practice Address - Phone:859-353-8041
Practice Address - Fax:859-353-8042
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RICHMOND PRIMARY CARE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-27
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY36218261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYH67935Medicare UPIN