Provider Demographics
NPI:1356673560
Name:WASHINGTON URGENT CARE, PLLC
Entity Type:Organization
Organization Name:WASHINGTON URGENT CARE, PLLC
Other - Org Name:WASHINGTON URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
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:248-844-1500
Mailing Address - Street 1:51850 DEQUINDRE RD STE 1
Mailing Address - Street 2:
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 1:57850 VAN DYKE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48094-3826
Practice Address - Country:US
Practice Address - Phone:586-935-4000
Practice Address - Fax:586-935-4008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
203146351OtherTAX ID