MEDICARE: EXPRESS MED URGENT CARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1649755125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPRESS MED URGENT CARE, PLLC

Provider Business Mailing Address
First Line	:	4016 PARKWOOD CT
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3967
Country	:	US
Telephone Number	:	248-499-8547
Fax Number	:	248-206-0203

Provider Business Practice Location Address
First Line	:	19725 W 12 MILE RD
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-2584
Country	:	US
Telephone Number	:	248-678-5117
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RON KATTOO
Credential	:	MD
Telephone Number	:	248-499-8547

Provider Enumeration Date	:	10/01/2018
Last Update Date	:	04/13/2026

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