Mohammed, Benhur Bushara

Mohammed, Benhur Bushara is an individual health care provider with primary practice located at 12145 Elm St , Princess Anne MD 21853-1358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mohammed, Benhur Bushara can be contacted via phone (410) 651-5135.

Contact Information

Primary practice address
12145 Elm St Princess Anne MD 21853-1358
Phone: (410) 651-5135
Fax: (410) 651-4682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0071579 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101247414 Virginia

Profile Details

NPI number 1285824284
LBN Legal business name Mohammed, Benhur Bushara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Mar 14th, 2016 - about 10 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 1285824284 NPPES
Maryland MEDICAID 119591300

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