# ELITE URGENT CARE PLLC

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

## Provider details

- **NPI number:** 1972852705
- **Authorized official:** MS. MARYAM M MIHTAR RMA (PRESIDENT)
- **Authorized official phone:** (313) 736-5004

## Contact information

- **Practice address:** 15301 TIREMAN AVE, STE-A, DEARBORN, MI 48126-1045
- **Practice address phone:** (313) 736-5004
- **Mailing address:** 5293 HARTWELL ST, DEARBORN, MI 48126-3309
- **Mailing address phone:** (313) 736-5004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2012
- **Last updated:** 10/09/2014