Provider Demographics
NPI:1528586674
Name:HARPER WOODS URGENT CARE AND MEDICAL CENTER PLLC
Entity Type:Organization
Organization Name:HARPER WOODS URGENT CARE AND MEDICAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-JARRAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-499-1951
Mailing Address - Street 1:PO BOX 3396
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48037-3396
Mailing Address - Country:US
Mailing Address - Phone:313-499-1951
Mailing Address - Fax:313-332-1857
Practice Address - Street 1:19959 VERNIER RD STE 400
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-1471
Practice Address - Country:US
Practice Address - Phone:313-499-1951
Practice Address - Fax:313-332-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-08
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care