SMART PRIME CARE PROVIDER PLLC NPI 1619743523

NPI Information

  • NPI: 1619743523
  • Provider Name: SMART PRIME CARE PROVIDER PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: SMART PRIME CARE
  • Address: 4103 LAFAYETTE BLVD STE 2B
    FREDERICKSBURG, VA
    ZIP 22408
  • Phone: (540) 479-1364

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NPI Details

SMART PRIME CARE PROVIDER PLLC is a primary care clinic center in Fredericksburg, VA. SMART PRIME CARE PROVIDER PLLC NPI is 1619743523. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Smart Prime Care.

The provider's business location address is:

4103 LAFAYETTE BLVD STE 2B
FREDERICKSBURG, VA
ZIP 22408-274
Phone: (540) 479-1364
Fax: (540) 919-0007

The provider's authorized official is Abhijeet A Nakave .
The authorized official title is Owner and has the following contact phone number (509) 833-4487.

The enumeration date for this NPI number is 11/30/2023 and was last updated on 8/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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