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NPI Code Detail

MEDICARE: AM URGENT CARE PLC

MEDICARE: AM URGENT CARE PLC
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
1207Q00000XFamily Medicine PhysicianGP068359MI
2261QU0200XUrgent Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110860OTHERMICAPE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30H22668OTHERMIBCN
4G07647OTHERMIFOUR STAR
5024242OTHERMIMIDWEST
67323066OTHERMIAETNA
77620OTHERMIHEALTH PLAN OF MI
8700H222990OTHERMIBCBC BCN

General Provider Information

NPI Number : 1932108529
Entity Type Code : Organization
Provider Name (Legal Business Name) : AM URGENT CARE PLC
Provider Business Mailing Address
First Line : 13031 CONANT ST
Second Line :
City : DETROIT
State : MI
Zip : 48212-2361
Country : US
Telephone Number : 313-893-5493
Fax Number : 313-893-5495
Provider Business Practice Location Address
First Line : 13031 CONANT ST
Second Line :
City : DETROIT
State : MI
Zip : 48212-2361
Country : US
Telephone Number : 313-893-5493
Fax Number : 313-893-5495
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. ALI H MAHMOOD
Credential : MD
Telephone Number : 313-893-5493
Provider Enumeration Date : 07/18/2005
Last Update Date : 05/07/2020

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1023778552 — MRS. AMNA IMAD MOHAMMAD RPH
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Directions to “AM URGENT CARE PLC ” Practice Location

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