Choudhury, Mustafizur

Choudhury, Mustafizur is an sole proprietor health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Choudhury, Mustafizur can be contacted via phone (800) 653-6568.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (800) 653-6568
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 15621 North Dakota
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 5101019831 Michigan

Profile Details

NPI number 1073877999
LBN Legal business name Choudhury, Mustafizur
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2012
Last updated Apr 14th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073877999 NPPES
Michigan MEDICAID 1073877999
Michigan Other 5823530

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