Provider Demographics
NPI:1861679201
Name:U S HEALTHCARE MI INC
Entity type:Organization
Organization Name:U S HEALTHCARE MI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:SHAKEE
Authorized Official - Last Name:AWAISI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-537-9200
Mailing Address - Street 1:25321 5 MILE RD
Mailing Address - Street 2:STE 7
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3700
Mailing Address - Country:US
Mailing Address - Phone:313-537-9200
Mailing Address - Fax:313-537-9292
Practice Address - Street 1:25321 5 MILE RD
Practice Address - Street 2:STE 7
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3700
Practice Address - Country:US
Practice Address - Phone:313-537-9200
Practice Address - Fax:313-537-9292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301087035207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104975054Medicaid
MI2006358232OtherBCBSM
MI0P34660Medicare Oscar/Certification