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NPI Code Detail

MEDICARE: HAMTRAMCK COMMUNITY MEDICAL CENTER PC

MEDICARE: HAMTRAMCK COMMUNITY MEDICAL CENTER PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1700H217400OTHERBLUE CROSS

General Provider Information

NPI Number : 1184847808
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMTRAMCK COMMUNITY MEDICAL CENTER PC
Provider Business Mailing Address
First Line : 2835 TUMBLEWEED DR
Second Line :
City : TROY
State : MI
Zip : 48085-7021
Country : US
Telephone Number : 313-556-9900
Fax Number :
Provider Business Practice Location Address
First Line : 9740 CONANT ST
Second Line :
City : HAMTRAMCK
State : MI
Zip : 48212-3307
Country : US
Telephone Number : 313-556-9900
Fax Number : 313-556-9911
Authorized Official
Title or Position : OWNER
Name : REDWAN UDDIN
Credential : MD
Telephone Number : 248-851-1430
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/21/2022

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1881973592 — HAMTRAMCK COMMUNITY MEDICAL CENTER PC
Practice Location Address:
9740 CONANT ST
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48212-3307
Practice Phone: 313-556-9900
Practice Fax: 313-556-9911

Directions to “HAMTRAMCK COMMUNITY MEDICAL CENTER PC ” Practice Location

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