Basic Information
| Provider Information | |||||||||
| NPI: | 1134476849 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PHYSICIAN QUALITY CARE SERVICES PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18900 W 10 MILE RD | ||||||||
| Address2: | |||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480752669 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484248340 | ||||||||
| FaxNumber: | 2484247209 | ||||||||
| Practice Location | |||||||||
| Address1: | 18900 W 10 MILE RD | ||||||||
| Address2: | |||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480752669 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484248340 | ||||||||
| FaxNumber: | 2484247209 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2012 | ||||||||
| LastUpdateDate: | 08/13/2012 | ||||||||
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| AuthorizedOfficialLastName: | SHEIKH | ||||||||
| AuthorizedOfficialFirstName: | KMARAN | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | SOLE MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 2486156600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.