Provider Demographics
NPI:1083933220
Name:RITEMED URGENT CARE PLLC
Entity Type:Organization
Organization Name:RITEMED URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-331-3910
Mailing Address - Street 1:769 S WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-4364
Mailing Address - Country:US
Mailing Address - Phone:734-331-3910
Mailing Address - Fax:734-331-3911
Practice Address - Street 1:769 S WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-4364
Practice Address - Country:US
Practice Address - Phone:734-331-3910
Practice Address - Fax:734-331-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301078766207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110H260970OtherBCBS GROUP
MI1083933220Medicaid
MIDR3454OtherRAILROAD MEDICARE GROUP
MIDR3454OtherRAILROAD MEDICARE GROUP