Organization
QANDIL FAMILY MEDICAL & URGENT CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIL QANDIL M. D. (OWNER)
(313) 871-8900
Entity
Organization
Contact information
Practice address
9222 JOSEPH CAMPAU ST, SUITE A, HAMTRAMCK, MI 48212-4059
(313) 871-8900
(313) 871-8901
Mailing address
9222 JOSEPH CAMPAU ST, SUITE A, HAMTRAMCK, MI 48212-4059
(313) 871-8900
(313) 871-8901
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301087756
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H256400
BCBS GROUP
MI
05
—
1013149616
—
MI
01
—
DQ3273
RAILROAD MEDICARE
MI
Enumeration date
08/14/2009
Last updated
08/18/2010
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