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 |
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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 |
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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 |
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Provider Enumeration Date | 06/11/2013 |
Last Update Date | 08/29/2014 |
Medicare PECOS PAC ID | 9830328434 |
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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 |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235164872 PECOS PAC ID: 2264437185 Enrollment ID: I20070412000482 |
Provider Name | Rubina M Syed |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588903298 PECOS PAC ID: 9234374893 Enrollment ID: I20130402000285 |
Provider Name | Ami A Hatta |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1144478470 PECOS PAC ID: 8729301437 Enrollment ID: I20150106001689 |
Provider Name | Thu Tharrett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730764770 PECOS PAC ID: 1052717030 Enrollment ID: I20210831002763 |
Provider Name | Elyse A Watkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467145474 PECOS PAC ID: 1759732035 Enrollment ID: I20240111000665 |
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 | |
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 |