Healthcare Provider Details

I. General information

NPI: 1629582994
Provider Name (Legal Business Name): CH ASLAM URGENT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2017
Last Update Date: 08/04/2023
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34904 W MICHIGAN AVE
WAYNE MI
48184-1766
US

IV. Provider business mailing address

34815 W MICHIGAN AVE STE 1
WAYNE MI
48184-1895
US

V. Phone/Fax

Practice location:
  • Phone: 313-483-4630
  • Fax:
Mailing address:
  • Phone: 734-713-7189
  • Fax: 734-263-1295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number4301101413
License Number StateMI

VIII. Authorized Official

Name: KHAWAR CHAUDHRY
Title or Position: OWNER
Credential: MD
Phone: 313-483-4630