Healthcare Provider Details

I. General information

NPI: 1518359447
Provider Name (Legal Business Name): M 15 URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N. ORTONVILLE RD. STE #C
ORTONVILLE MI
48462
US

IV. Provider business mailing address

250 N ORTONVILLE RD STE C
ORTONVILLE MI
48462-8308
US

V. Phone/Fax

Practice location:
  • Phone: 248-793-7113
  • Fax: 248-793-7128
Mailing address:
  • Phone: 248-793-7113
  • Fax: 248-793-7128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: AHMED ARIF
Title or Position: MEDICAL DIRECTOR
Credential: M.D,
Phone: 248-793-7113