Organization
UNITED FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAZIA WADOOD M.D (PROPRITOR)
(586) 604-8108
Entity
Organization
Contact information
Practice address
12170 CONANT ST, SUITE C-2, DETROIT, MI 48212-4137
(313) 366-9800
Mailing address
454 E SOUTH BLVD, TROY, MI 48085-1265
(586) 604-8108
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
4301079852
MI
261QP2300X
Primary Care Clinic/Center
4301079852
MI
261QU0200X
Urgent Care Clinic/Center
Primary
4301079852
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0950444
BLUE SHIELD
MI
05
—
491643810
—
MI
Enumeration date
09/18/2009
Last updated
09/18/2009
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