Provider Demographics
NPI:1285433649
Name:CITY PRIMARY CARE P.C
Entity type:Organization
Organization Name:CITY PRIMARY CARE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-308-2444
Mailing Address - Street 1:13403 W 7 MILE RD STE A
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-1387
Mailing Address - Country:US
Mailing Address - Phone:313-308-2444
Mailing Address - Fax:313-308-2444
Practice Address - Street 1:13403 W 7 MILE RD STE A
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1387
Practice Address - Country:US
Practice Address - Phone:313-308-2444
Practice Address - Fax:313-308-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty