# MIDAN MEDICAL HOLDINGS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558876474
- **Authorized official:** FAYEZ SHUKAIRY MD (SOLE MBR)
- **Authorized official phone:** (810) 691-7738

## Contact information

- **Practice address:** 2786 E HIGHLAND RD, HIGHLAND, MI 48356-2728
- **Practice address phone:** (810) 875-3713
- **Mailing address:** 1501 S CENTER RD UNIT 3, BURTON, MI 48509-1731
- **Mailing address phone:** (810) 780-4181
- **Mailing address fax:** (810) 519-4842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2017
- **Last updated:** 12/14/2017