| Vernor Urgent Care Pllc | |
|
3456 W Vernor Hwy Detroit MI 48216-1551 | |
| (313) 254-9693 | |
| (734) 629-1567 |
| Full Name | Vernor Urgent Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3456 W Vernor Hwy, Detroit, Michigan |
| Authorized Official Name and Position | Sameer Abdurrahman Huraibi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3132549693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernor Urgent Care Pllc 3456 W Vernor Hwy Detroit MI 48216-1551 Ph: (313) 254-9693 | Vernor Urgent Care Pllc 3456 W Vernor Hwy Detroit MI 48216-1551 Ph: (313) 254-9693 |
| NPI Number | 1508205329 |
|---|---|
| Provider Enumeration Date | 06/14/2013 |
| Last Update Date | 02/04/2021 |
| Medicare PECOS PAC ID | 2466685649 |
|---|---|
| Medicare Enrollment ID | O20140424001421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508205329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| 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 | Paulo Detarso Sugai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134625023 PECOS PAC ID: 8224387139 Enrollment ID: I20180824001967 |
| Provider Name | Ali E Dia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386100832 PECOS PAC ID: 0244648624 Enrollment ID: I20210423001708 |
| Provider Name | Kemi Osanaiye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124605720 PECOS PAC ID: 7911306428 Enrollment ID: I20210602002594 |
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