Provider Demographics
NPI:1386832012
Name:NORTHVILLE URGENT CARE P.C.
Entity Type:Organization
Organization Name:NORTHVILLE URGENT CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-407-6040
Mailing Address - Street 1:47311 FIVE MILE RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-3768
Mailing Address - Country:US
Mailing Address - Phone:313-407-6040
Mailing Address - Fax:
Practice Address - Street 1:47311 FIVE MILE RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-3768
Practice Address - Country:US
Practice Address - Phone:313-407-6040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty