Provider Demographics
NPI:1043407760
Name:STERLING HEIGHTS URGENT CARE,P.L.L.C
Entity Type:Organization
Organization Name:STERLING HEIGHTS URGENT CARE,P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALJARRAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-282-5444
Mailing Address - Street 1:37771 SCHOENHERR RD
Mailing Address - Street 2:STE 102
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-2302
Mailing Address - Country:US
Mailing Address - Phone:734-282-5444
Mailing Address - Fax:734-282-4899
Practice Address - Street 1:37771 SCHOENHERR RD
Practice Address - Street 2:STE 102
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-2302
Practice Address - Country:US
Practice Address - Phone:734-282-5444
Practice Address - Fax:734-282-4899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP51310002Medicare PIN
MIP51310001Medicare PIN