NPIMap

Organization Active NPI

Qandil Family Medical & Urgent Care Center PLLC

  • Primary Care Clinic/Center
  • Hamtramck, MI
National Provider Identifier
1013149616
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301087756 Issued in MI
Legal business name
QANDIL FAMILY MEDICAL & URGENT CARE CENTER PLLC
Practice address
9222 Joseph Campau St
Suite a
Hamtramck, MI 48212-4059
Phone
(313) 871-8900
Fax
(313) 871-8901
NPI assigned
Aug 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Basil Qandil, M. D.
Title
Owner
Phone
(313) 871-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301087756 MI Primary

Addresses

Primary practice location

9222 Joseph Campau St
Suite a
Hamtramck, MI 48212-4059

Mailing address

9222 Joseph Campau St
Suite a
Hamtramck, MI 48212-4059
Phone (313) 871-8900

Other identifiers 3

IdentifierTypeStateIssuer
080H256400OtherMIBCBS GROUP
DQ3273OtherMIRAILROAD MEDICARE
1013149616MedicaidMI

National Provider Directory

National Provider Directory

Locations

9222 Joseph Campau St
Ste A
Hamtramck, MI 48212
Phone (313) 871-8900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1013149616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 JOSEPH CAMPAU ST",
            "address_2": "SUITE A",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482124059",
            "telephone_number": "313-871-8900",
            "fax_number": "313-871-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 JOSEPH CAMPAU ST",
            "address_2": "SUITE A",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482124059",
            "telephone_number": "313-871-8900",
            "fax_number": "313-871-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QANDIL FAMILY MEDICAL & URGENT CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "QANDIL",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-871-8900",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301087756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "080H256400",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ3273",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013149616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.