Provider Demographics
NPI:1437393386
Name:MADISON HEIGHTS URGENT CARE, PC
Entity Type:Organization
Organization Name:MADISON HEIGHTS URGENT CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NABEEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-546-7300
Mailing Address - Street 1:28037 DEQUINDRE RD
Mailing Address - Street 2:BUILDING B
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3001
Mailing Address - Country:US
Mailing Address - Phone:248-546-7300
Mailing Address - Fax:
Practice Address - Street 1:28037 DEQUINDRE RD
Practice Address - Street 2:BUILDING B
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3001
Practice Address - Country:US
Practice Address - Phone:248-546-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty