Provider Demographics
NPI:1790167658
Name:UOP URGENT CARE PLLC
Entity Type:Organization
Organization Name:UOP URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NAZEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHUSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-921-3431
Mailing Address - Street 1:23822 FORD RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3245
Mailing Address - Country:US
Mailing Address - Phone:313-277-4330
Mailing Address - Fax:313-277-4338
Practice Address - Street 1:23822 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3245
Practice Address - Country:US
Practice Address - Phone:313-277-4330
Practice Address - Fax:313-277-4338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MINA055667261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care