Organization
AM URGENT CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI H MAHMOOD MD (OWNER/PHYSICIAN)
(313) 893-5493
Entity
Organization
Contact information
Practice address
13031 CONANT ST, DETROIT, MI 48212-2361
(313) 893-5493
(313) 893-5495
Mailing address
13031 CONANT ST, DETROIT, MI 48212-2361
(313) 893-5493
(313) 893-5495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
GP068359
MI
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024242
MIDWEST
MI
01
—
0H22668
BCN
MI
01
—
10860
CAPE
MI
05
—
4653542
—
MI
01
—
700H222990
BCBC BCN
MI
01
—
7323066
AETNA
MI
01
—
7620
HEALTH PLAN OF MI
MI
01
—
G07647
FOUR STAR
MI
Enumeration date
07/18/2005
Last updated
05/07/2020
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