Provider Demographics
NPI:1427386812
Name:QUALITY MEDICAL GROUP PLC
Entity Type:Organization
Organization Name:QUALITY MEDICAL GROUP PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:Y
Authorized Official - Last Name:KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-725-6842
Mailing Address - Street 1:2772 TURTLE BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0769
Mailing Address - Country:US
Mailing Address - Phone:586-725-6842
Mailing Address - Fax:586-725-6892
Practice Address - Street 1:2772 TURTLE BLUFF DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0769
Practice Address - Country:US
Practice Address - Phone:586-725-6842
Practice Address - Fax:586-725-6892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301059699207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4439195Medicaid
MI0N59400Medicare PIN
MIG54722Medicare UPIN