Provider Demographics
NPI:1437456704
Name:MILFORD URGENT CARE, P.C
Entity Type:Organization
Organization Name:MILFORD URGENT CARE, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KEFRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-433-8888
Mailing Address - Street 1:414 UNION ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-1989
Mailing Address - Country:US
Mailing Address - Phone:248-714-9751
Mailing Address - Fax:248-714-9762
Practice Address - Street 1:414 UNION ST STE 101
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1989
Practice Address - Country:US
Practice Address - Phone:248-714-9751
Practice Address - Fax:248-714-9762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301055827207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty