Delta Primary & Urgent Care PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

DELTA PRIMARY & URGENT CARE PLLC

Practice address

27122 Dequindre Rd
Warren, MI 48092-3537

Phone

(248) 227-8072

Fax

(313) 871-1914

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Motahar H Ahmed, M.D.

Title

Owner

Phone

(248) 227-8072

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jannatul Fardawsy

  • Nurse Practitioner
  • Hamtramck, MI
  • NPI 1821674540
  NPD (past)

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1881087351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27122 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923537",
            "telephone_number": "248-227-8072",
            "fax_number": "313-871-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27122 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923537",
            "telephone_number": "248-227-8072",
            "fax_number": "313-871-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA PRIMARY & URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOTAHAR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-227-8072",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Michelle Decaluwe, PTA
• A Timothy Deconinck, DDS
• Derik Peter Deconinck, DDS
• Dedicated Physicians Group of Michigan PLLC
• Jami L Dekker, PA
• Deluxe Dental Associates 9-Warren PLLC
• Jill F. Dely, PA-C
• Matt Demerle
• Nicholas Demers, MOTRL
• Nicole Lynne Demeter, CNM

• Urgent Care Clinic/Center in Warren, MI
• Providers in Warren, 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 Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.