Provider Demographics
NPI:1073036810
Name:TOTAL URGENT CARE, PLLC
Entity Type:Organization
Organization Name:TOTAL URGENT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JABIR
Authorized Official - Middle Name:K
Authorized Official - Last Name:AKHTAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-437-3372
Mailing Address - Street 1:3412 S CENTRUY OAK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48363
Mailing Address - Country:US
Mailing Address - Phone:626-437-3372
Mailing Address - Fax:
Practice Address - Street 1:3412 S CENTURY OAK CIRCLE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MI
Practice Address - Zip Code:48363
Practice Address - Country:US
Practice Address - Phone:626-437-3372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care