Healthcare Provider Details

I. General information

NPI: 1851635155
Provider Name (Legal Business Name): VALLEY URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 BOARDWALK DR
SAGINAW MI
48603-2324
US

IV. Provider business mailing address

3061 CHRISTY WAY
SAGINAW MI
48603-2224
US

V. Phone/Fax

Practice location:
  • Phone: 989-791-3888
  • Fax: 989-791-3859
Mailing address:
  • Phone: 989-791-2455
  • Fax: 989-791-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4301059644
License Number StateMI

VIII. Authorized Official

Name: NAVEED MAHFOOZ
Title or Position: OWNER
Credential: MD
Phone: 989-672-2113