Basic Information
| Provider Information | |||||||||
| NPI: | 1184993420 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PREFERRED URGENT CARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 901 N MACOMB ST | ||||||||
| Address2: | |||||||||
| City: | MONROE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481623088 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343842050 | ||||||||
| FaxNumber: | 7343842061 | ||||||||
| Practice Location | |||||||||
| Address1: | 901 N MACOMB ST | ||||||||
| Address2: | |||||||||
| City: | MONROE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481623088 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343842050 | ||||||||
| FaxNumber: | 7343842061 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2011 | ||||||||
| LastUpdateDate: | 12/15/2011 | ||||||||
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| AuthorizedOfficialLastName: | BHURGRI | ||||||||
| AuthorizedOfficialFirstName: | AAMER | ||||||||
| AuthorizedOfficialMiddleName: | HASAN | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7343842050 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | INTERNAL MEDICINE | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.