NPIMap

Organization Active NPI

Utica Shelby Urgent Care PC

  • Urgent Care Clinic/Center
  • Utica, MI
National Provider Identifier
1295017085
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
4301090856 Issued in MI
Legal business name
UTICA SHELBY URGENT CARE PC
Practice address
45569 Van Dyke Ave
Ste 3
Utica, MI 48317-5617
Phone
(586) 258-8791
NPI assigned
Sep 16, 2011
Last updated
Sep 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Dr. Kunjesh P Shah, M.DNPI 1720287386
Title
Owner
Phone
(586) 258-8791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 4301090856 MI Primary

Addresses

Primary practice location

45569 Van Dyke Ave
Ste 3
Utica, MI 48317-5617

Mailing address

45569 Van Dyke Ave
Ste 3
Utica, MI 48317-5617
Phone (586) 258-8791

National Provider Directory

National Provider Directory

Locations

45569 Van Dyke Ave
Ste 3
Utica, MI 48317
Phone (586) 258-8791

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1295017085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45569 VAN DYKE AVE",
            "address_2": "STE 3",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175617",
            "telephone_number": "586-258-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45569 VAN DYKE AVE",
            "address_2": "STE 3",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175617",
            "telephone_number": "586-258-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA SHELBY URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KUNJESH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-258-8791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4301090856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.