| Van Buren Urgent Care Center Pllc | |
|
11650 Belleville Rd Suite 101 Van Buren Twp MI 48111 | |
| (734) 699-9888 | |
| (734) 293-1774 |
| Full Name | Van Buren Urgent Care Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11650 Belleville Rd, Van Buren Twp, Michigan |
| Authorized Official Name and Position | Sameer Huraibi (OWNER MEDICAL DIRECTOR PHYSICIAN) |
| Authorized Official Contact | 3135150024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Buren Urgent Care Center Pllc 11650 Belleville Rd Suite 101 Van Buren Twp MI 48111 Ph: (734) 699-9888 | Van Buren Urgent Care Center Pllc 11650 Belleville Rd Suite 101 Van Buren Twp MI 48111 Ph: (734) 699-9888 |
| NPI Number | 1538497250 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 12/09/2010 |
| Medicare PECOS PAC ID | 6204960685 |
|---|---|
| Medicare Enrollment ID | O20100820000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538497250 | NPI | - | NPPES |
| 182933 | Other | MI | GREAT LAKES |
| 1538497250 | Medicaid | MI | |
| 080H258740 | Other | MI | BCBS GROUP |
| DQ6601 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301085918 (Michigan) | Primary |
| Provider Name | Hussein A Huraibi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1790737799 PECOS PAC ID: 7618932021 Enrollment ID: I20041124000837 |
| Provider Name | Sameer A Huraibi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437219391 PECOS PAC ID: 3678633070 Enrollment ID: I20081114000469 |
| Provider Name | Kristina Samu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134480957 PECOS PAC ID: 1052561693 Enrollment ID: I20121017000462 |
| Provider Name | Nessreen S Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275718793 PECOS PAC ID: 7719201995 Enrollment ID: I20150116000514 |
| Provider Name | Kristi Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326394586 PECOS PAC ID: 0042534299 Enrollment ID: I20150119000803 |
| Provider Name | Deya E Abdelbaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427582311 PECOS PAC ID: 2567749310 Enrollment ID: I20170503001288 |
| Provider Name | Ali E Dia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386100832 PECOS PAC ID: 0244648624 Enrollment ID: I20210423001708 |
| Provider Name | Kefah Abbas Mazloum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356093553 PECOS PAC ID: 3072988302 Enrollment ID: I20230418002490 |
| Provider Name | Tala Darwich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578242848 PECOS PAC ID: 5698122083 Enrollment ID: I20231107000640 |
Ali H. Mahmood, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9850 Haggerty Rd, Van Buren Twp, MI 48111 Phone: 734-699-3080 |