Provider Demographics
NPI:1982125126
Name:EASTPOINTE URGENT CARE WALK IN CLINIC P.C.
Entity Type:Organization
Organization Name:EASTPOINTE URGENT CARE WALK IN CLINIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:IMRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-652-2385
Mailing Address - Street 1:2000 ALEXANDER DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-9354
Mailing Address - Country:US
Mailing Address - Phone:734-652-2385
Mailing Address - Fax:
Practice Address - Street 1:22471 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-2353
Practice Address - Country:US
Practice Address - Phone:734-652-2385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care