Healthcare Provider Details

I. General information

NPI: 1225407943
Provider Name (Legal Business Name): OXFORD-ORION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 09/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 S LAPEER RD SUITE 102
LAKE ORION MI
48360-1467
US

IV. Provider business mailing address

1455 S LAPEER RD SUITE 102
LAKE ORION MI
48360-1467
US

V. Phone/Fax

Practice location:
  • Phone: 248-287-8888
  • Fax: 248-287-8990
Mailing address:
  • Phone: 248-287-8888
  • Fax: 248-287-8990

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: TAHIR HASAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 248-287-8888