# BIRMINGHAM ROYAL OAK MEDICAL GROUP PC

> 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:** 1679806996
- **Authorized official:** DR. MUMTAZ GEORGE MD (OWNER MEDICAL DIRECTOR PHYSICIAN)
- **Authorized official phone:** (248) 288-9500

## Contact information

- **Practice address:** 5130 COOLIDGE HWY, ROYAL OAK, MI 48073-1001
- **Practice address phone:** (248) 288-9500
- **Practice address fax:** (248) 288-0044
- **Mailing address:** 5130 COOLIDGE HWY, ROYAL OAK, MI 48073-1001
- **Mailing address phone:** (248) 288-9500
- **Mailing address fax:** (248) 288-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 4301038490 | MI | Yes |

## Other

- **Enumeration date:** 09/18/2009
- **Last updated:** 09/18/2009