Provider Demographics
NPI:1760739981
Name:SHAKER URGENT CARE PC
Entity Type:Organization
Organization Name:SHAKER URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILAD
Authorized Official - Middle Name:I
Authorized Official - Last Name:SHAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-547-4321
Mailing Address - Street 1:308 BESSEMER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-9134
Mailing Address - Country:US
Mailing Address - Phone:724-547-4321
Mailing Address - Fax:724-547-4298
Practice Address - Street 1:6207 ROUTE 30
Practice Address - Street 2:SUITE 1020
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-547-4321
Practice Address - Fax:724-837-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care