Healthcare Provider Details

I. General information

NPI: 1174446116
Provider Name (Legal Business Name): EVORA URGENT CARE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4828 ALLEN RD
ALLEN PARK MI
48101-2914
US

IV. Provider business mailing address

4828 ALLEN RD
ALLEN PARK MI
48101-2914
US

V. Phone/Fax

Practice location:
  • Phone: 313-444-2323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SALLY KHALIFA
Title or Position: PRESIDENT
Credential: DO
Phone: 313-444-2323