| Am Urgent Care Plc | |
|
13031 Conant St Detroit MI 48212-2361 | |
| (313) 893-5493 | |
| (313) 893-5495 |
| Full Name | Am Urgent Care Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13031 Conant St, Detroit, Michigan |
| Authorized Official Name and Position | Ali H Mahmood (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3138935493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Am Urgent Care Plc 13031 Conant St Detroit MI 48212-2361 Ph: (313) 893-5493 | Am Urgent Care Plc 13031 Conant St Detroit MI 48212-2361 Ph: (313) 893-5493 |
| NPI Number | 1932108529 |
|---|---|
| Provider Enumeration Date | 07/18/2005 |
| Last Update Date | 05/07/2020 |
| Medicare PECOS PAC ID | 3779547773 |
|---|---|
| Medicare Enrollment ID | O20041118000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932108529 | NPI | - | NPPES |
| 10860 | Other | MI | CAPE |
| 4653542 | Medicaid | MI | |
| 0H22668 | Other | MI | BCN |
| G07647 | Other | MI | FOUR STAR |
| 024242 | Other | MI | MIDWEST |
| 7323066 | Other | MI | AETNA |
| 7620 | Other | MI | HEALTH PLAN OF MI |
| 700H222990 | Other | MI | BCBC BCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | GP068359 (Michigan) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Ali H Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386643013 PECOS PAC ID: 7517921786 Enrollment ID: I20041117000432 |
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