Healthcare Provider Details

I. General information

NPI: 1043942519
Provider Name (Legal Business Name): GLOBAL URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29201 TELEGRAPH RD
SOUTHFIELD MI
48034-1331
US

IV. Provider business mailing address

660 SHREWSBURY DR
CLARKSTON MI
48348-3674
US

V. Phone/Fax

Practice location:
  • Phone: 248-393-2233
  • Fax:
Mailing address:
  • Phone: 248-393-2233
  • Fax: 248-393-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: CHUKWUDI OKONMAH
Title or Position: OWNER
Credential: MD
Phone: 248-431-1172