Provider Demographics
NPI:1083998421
Name:SHELBY URGENT CARE PC
Entity Type:Organization
Organization Name:SHELBY URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FADI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMASHKIEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-561-1291
Mailing Address - Street 1:51850 DEQUINDRE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-2806
Mailing Address - Country:US
Mailing Address - Phone:586-799-4082
Mailing Address - Fax:586-799-4083
Practice Address - Street 1:51850 DEQUINDRE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48316-2806
Practice Address - Country:US
Practice Address - Phone:586-799-4082
Practice Address - Fax:586-799-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care