Healthcare Provider Details
I. General information
NPI: 1518438688
Provider Name (Legal Business Name): FLASH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2018
Last Update Date: 03/22/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17100 SILVER PKWY STE B
FENTON MI
48430-3468
US
IV. Provider business mailing address
PO BOX 2280
BRIGHTON MI
48116-6080
US
V. Phone/Fax
- Phone: 810-936-0040
- Fax: 810-936-0041
- Phone: 313-598-7460
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
MIR
M
ASGHAR
Title or Position: PRESIDENT
Credential: MD, FACR
Phone: 313-598-7460