Provider Demographics
NPI:1477552149
Name:MICHIGAN URGENT AND PRIMARY CARE
Entity Type:Organization
Organization Name:MICHIGAN URGENT AND PRIMARY CARE
Other - Org Name:LIVONIA URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-542-6100
Mailing Address - Street 1:17197 N LAUREL PARK DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2680
Mailing Address - Country:US
Mailing Address - Phone:734-338-8300
Mailing Address - Fax:
Practice Address - Street 1:37595 7 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1003
Practice Address - Country:US
Practice Address - Phone:734-542-6100
Practice Address - Fax:734-542-6102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-15
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301065784207R00000X
MI4301075100261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI010H270150OtherBCBS
MI11009OtherMCARE
MII19418OtherRAILROAD MEDICARE
MI47730OtherOMNICARE
MI700H215310OtherBCN
MI146039OtherGREAT LAKES
MI50014703OtherHAP
MI124756OtherCARE CHOICES
MI6467AOtherCAPE
MI023865OtherMIDWEST
MI50014703OtherHAP