Healthcare Provider Details

I. General information

NPI: 1194983916
Provider Name (Legal Business Name): LINCOLN PARK URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15101 SOUTHFIELD RD STE 101
ALLEN PARK MI
48101-2664
US

IV. Provider business mailing address

15101 SOUTHFIELD RD SUITE 101
ALLEN PARK MI
48101-2697
US

V. Phone/Fax

Practice location:
  • Phone: 313-383-3333
  • Fax: 313-383-5555
Mailing address:
  • Phone: 313-383-3333
  • Fax: 313-383-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MULHAM SHIKH HAMDON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 313-383-3333