Healthcare Provider Details

I. General information

NPI: 1093021958
Provider Name (Legal Business Name): URBAN COMPREHENSIVE MEDICAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2010
Last Update Date: 07/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18940 SCHOOLCRAFT
DETROIT MI
48223-2906
US

IV. Provider business mailing address

PO BOX 871820
CANTON MI
48187-7520
US

V. Phone/Fax

Practice location:
  • Phone: 313-281-8070
  • Fax: 313-281-8290
Mailing address:
  • Phone: 734-437-9262
  • Fax: 734-437-9264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number4301085044
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301085044
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number4301085044
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number4301085044
License Number StateMI
# 5
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number4301085044
License Number StateMI

VIII. Authorized Official

Name: DR. SYED I AHMED
Title or Position: CEO
Credential: MD
Phone: 734-437-9262