Healthcare Provider Details

I. General information

NPI: 1487167961
Provider Name (Legal Business Name): ALBUQUERQUE URGENT CARE WALK IN CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2017
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 EUBANK BLVD NE
ALBUQUERQUE NM
87111
US

IV. Provider business mailing address

1739 LASALLE RD
CANTON MI
48187-5823
US

V. Phone/Fax

Practice location:
  • Phone: 313-948-3055
  • Fax: 505-296-8348
Mailing address:
  • Phone: 734-560-9451
  • Fax: 505-296-8348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ZAHOORUL HASSAN
Title or Position: CEO
Credential: MD
Phone: 313-948-3030