Organization Name: | QANDIL FAMILY MEDICAL & URGENT CARE CENTER PLLC |
NPI Number: | 1013149616 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BASIL QANDIL (OWNER) |
Mailing Address: | 9222 Joseph Campau St Suite A Hamtramck |
State: | MI US |
Postal Code: | 482124059 |
Phone Number: | 3138718900 |
Fax Number: | 3138718901 |
NPI Enumeration Date: | 08/14/2009 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 4301087756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |