Basic Information
| Provider Information | |||||||||
| NPI: | 1548535271 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | INSTANT MEDICAL CARE, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 247 | ||||||||
| Address2: | |||||||||
| City: | GLEN OAKS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110040247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5167758605 | ||||||||
| FaxNumber: | 5165179515 | ||||||||
| Practice Location | |||||||||
| Address1: | 808A HICKSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | MASSAPEQUA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117581262 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165914242 | ||||||||
| FaxNumber: | 5165974243 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/13/2012 | ||||||||
| LastUpdateDate: | 04/05/2021 | ||||||||
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| AuthorizedOfficialLastName: | CHHABRA | ||||||||
| AuthorizedOfficialFirstName: | INDERPAL | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7187553577 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | 04/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 246616 | NY | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
ID Information
| ID | Type | State | Issuer | Description | 02920276 | 05 | NY | MEDICAID |