Healthcare Provider Details

I. General information

NPI: 1881973592
Provider Name (Legal Business Name): HAMTRAMCK COMMUNITY MEDICAL CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9740 CONANT ST
HAMTRAMCK MI
48212-3307
US

IV. Provider business mailing address

2835 TUMBLEWEED DR
TROY MI
48085-7021
US

V. Phone/Fax

Practice location:
  • Phone: 313-556-9900
  • Fax: 313-556-9911
Mailing address:
  • Phone: 313-556-9900
  • Fax: 313-556-9911

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. REDWAN UDDIN
Title or Position: PRESIDENT
Credential: MD
Phone: 313-556-9900