Bohra, Mustafa Siraj
Bohra, Mustafa Siraj is an sole proprietor health care provider with primary practice located at 15120 Michigan Ave , Dearborn MI 48126-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bohra, Mustafa Siraj can be contacted via phone (313) 582-2142.Contact Information
Primary practice address
15120 Michigan Ave
Dearborn MI 48126-2916
Phone: (313) 582-2142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 4301067914 | Michigan |
Profile Details
| NPI number | 1588651897 |
|---|---|
| LBN Legal business name | Bohra, Mustafa Siraj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Jun 24th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588651897 | NPPES |
| Michigan | MEDICAID | 4566492 | |
| Michigan | Other | 743107704 |
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