Organization
COMMUNITY URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZ RAHMAN MD (EXECUTIVE DIRECTOR)
(313) 792-1200
Entity
Organization
Contact information
Practice address
1816 GRINDLEY PARK ST, DEARBORN, MI 48124-2504
(313) 792-1200
(313) 792-1201
Mailing address
1816 GRINDLEY PARK ST, DEARBORN, MI 48124-2504
(313) 792-1200
(313) 792-1201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301080612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P47330
MEDICARE PT
MI
05
—
1609074665
—
MI
01
—
700H238250
BCBS GROUP
MI
01
—
DH0360
RAILROAD MEDICARE GROUP
MI
01
—
I41319
HAP
MI
Enumeration date
07/10/2007
Last updated
04/09/2013
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