Healthcare Provider Details

I. General information

NPI: 1568760353
Provider Name (Legal Business Name): BRIGHTON URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2011
Last Update Date: 11/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 GENOA BUSINESS PARK DR SUITE 120
BRIGHTON MI
48114-7367
US

IV. Provider business mailing address

2300 GENOA BUSINESS PARK DR SUITE 120
BRIGHTON MI
48114-7367
US

V. Phone/Fax

Practice location:
  • Phone: 810-844-0400
  • Fax: 810-844-0804
Mailing address:
  • Phone: 810-844-0400
  • Fax: 810-844-0804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateMI

VIII. Authorized Official

Name: MOHAMMED A ARSIWALA
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 810-844-0400