Provider Demographics
NPI:1427125756
Name:BIRMINGHAM URGENT CARE PC
Entity type:Organization
Organization Name:BIRMINGHAM URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:KHALED
Authorized Official - Last Name:KEFRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-433-8888
Mailing Address - Street 1:200 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6323
Mailing Address - Country:US
Mailing Address - Phone:248-433-8888
Mailing Address - Fax:248-433-8151
Practice Address - Street 1:200 ELM ST
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6323
Practice Address - Country:US
Practice Address - Phone:248-433-8888
Practice Address - Fax:248-433-8151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care