Mohamed, Bonita A.

Mohamed, Bonita A. is an individual health care provider with primary practice located at 330 E Beltline Ave Ne , Grand Rapids MI 49506-1267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Mohamed, Bonita A. can be contacted via phone (616) 752-6235.

Contact Information

Primary practice address
330 E Beltline Ave Ne Grand Rapids MI 49506-1267
Phone: (616) 752-6235
Fax: (616) 752-6324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301108356 Michigan

Profile Details

NPI number 1295055572
LBN Legal business name Mohamed, Bonita A.
Credentials MD, MA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2010
Last updated Oct 29th, 2021 - about 5 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 1295055572 NPPES
Michigan MEDICAID 1295055572

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