Healthcare Provider Details

I. General information

NPI: 1396017026
Provider Name (Legal Business Name): HEALTHY URGENT CARE WEST BLOOMFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2012
Last Update Date: 03/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 ORCHARD LAKE RD SUITE 100
WEST BLOOMFIELD MI
48322-3616
US

IV. Provider business mailing address

7125 ORCHARD LAKE RD SUITE 100
WEST BLOOMFIELD MI
48322-3616
US

V. Phone/Fax

Practice location:
  • Phone: 248-865-7444
  • Fax: 248-865-7469
Mailing address:
  • Phone: 248-865-7444
  • Fax: 248-865-7469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SARMED G SINAWI
Title or Position: SOLE MEMBER
Credential: M.D.
Phone: 248-865-7444