Provider Demographics
NPI:1790159325
Name:SHIFA URGENT CARE, INC
Entity Type:Organization
Organization Name:SHIFA URGENT CARE, INC
Other - Org Name:SHIFA URGENT CARE, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARIMAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-416-8289
Mailing Address - Street 1:PO BOX 12009
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-0009
Mailing Address - Country:US
Mailing Address - Phone:313-265-3689
Mailing Address - Fax:313-782-4783
Practice Address - Street 1:2930 HOLBROOK ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3512
Practice Address - Country:US
Practice Address - Phone:313-265-3689
Practice Address - Fax:313-782-4783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2016-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301062703261QU0200X
261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care