Healthcare Provider Details

I. General information

NPI: 1437393386
Provider Name (Legal Business Name): MADISON HEIGHTS URGENT CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2009
Last Update Date: 04/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28037 DEQUINDRE RD BUILDING B
MADISON HEIGHTS MI
48071-3001
US

IV. Provider business mailing address

28037 DEQUINDRE RD BUILDING B
MADISON HEIGHTS MI
48071-3001
US

V. Phone/Fax

Practice location:
  • Phone: 248-546-7300
  • Fax:
Mailing address:
  • Phone: 248-546-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: NABEEL S TOMA
Title or Position: PRESIDENT
Credential: MD
Phone: 248-546-7300