| Hazel Park Urgent Care Pllc | |
|
624 E 9 Mile Rd Hazel Park MI 48030-1842 | |
| (248) 268-2566 | |
| (248) 268-2560 |
| Full Name | Hazel Park Urgent Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 624 E 9 Mile Rd, Hazel Park, Michigan |
| Authorized Official Name and Position | Jawad Agha (MD) |
| Authorized Official Contact | 2482682566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazel Park Urgent Care Pllc 624 E 9 Mile Rd Hazel Park MI 48030-1842 Ph: (248) 268-2566 | Hazel Park Urgent Care Pllc 624 E 9 Mile Rd Hazel Park MI 48030-1842 Ph: (248) 268-2566 |
| NPI Number | 1477991545 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 08/29/2014 |
| Medicare PECOS PAC ID | 9830328434 |
|---|---|
| Medicare Enrollment ID | O20140130001320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477991545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 4301076703 (* (Not Available)) | Primary |
| Provider Name | Jawad Agha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235164872 PECOS PAC ID: 2264437185 Enrollment ID: I20070412000482 |
| Provider Name | Rubina M Syed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588903298 PECOS PAC ID: 9234374893 Enrollment ID: I20130402000285 |
| Provider Name | Ami A Hatta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144478470 PECOS PAC ID: 8729301437 Enrollment ID: I20150106001689 |
| Provider Name | Thu Tharrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730764770 PECOS PAC ID: 1052717030 Enrollment ID: I20210831002763 |
Bi-county Health Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 W 8 Mile Rd, Hazel Park, MI 48030 Phone: 248-541-7606 Fax: 248-541-7197 | |
Hazel Oark Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23411 John R Rd, Hazel Park, MI 48030 Phone: 248-399-8331 Fax: 248-399-3912 | |
Anha Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 E 9 Mile Rd, Hazel Park, MI 48030 Phone: 313-207-6210 | |
Van Dyke Medical Center P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 E 9 Mile Rd, Hazel Park, MI 48030 Phone: 248-541-2800 Fax: 248-548-5385 | |
Bi-county Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W 8 Mile Rd, Hazel Park, MI 48030 Phone: 248-541-7606 Fax: 248-541-7197 | |
Yassa Pac Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 E 9 Mile Rd, Hazel Park, MI 48030 Phone: 248-629-7497 |