Child and Teen After Hours Clinic

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CHILD AND TEEN AFTER HOURS CLINIC

Practice address

25614 Ford Rd
Dearborn Heights, MI 48127-3024

Phone

(734) 839-6610

Fax

(734) 839-6611

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vinay Duggal, MD

Title

Owner

Phone

(734) 326-6333

Specialties & licenses 1

Addresses

Tax ID family

Child and Teen After Hours Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Child and Teen After Hours Clinic

  • Urgent Care Clinic/Center
  • Dearborn Heights, MI
  • NPI 1720115488
  NPD tax ID

Locations

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1417107079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25614 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273024",
            "telephone_number": "734-839-6610",
            "fax_number": "734-839-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25614 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273024",
            "telephone_number": "734-839-6610",
            "fax_number": "734-839-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND TEEN AFTER HOURS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "DUGGAL",
        "authorized_official_first_name": "VINAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-326-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlina Charleston, LPN
• Alli H Chaytou, RPH
• Chazime LLC
• Victor L Cheatham
• Ibrahim Cheikhali
• Child and Teen After Hours Clinic
• Jennifer Ann Ciak, OD
• City of Dearborn Heights
• Ashlea Raylene Clark, D.C.
• Pamela Clarkson, D.D.S.

• Urgent Care Clinic/Center in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.