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Organization
MUSTAFA S BOHRA MD PLC
Active
Organization
MUSTAFA S BOHRA MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA S BOHRA MD (OWNER)
(313) 582-2142
Entity
Organization
Contact information
Practice address
15120 MICHIGAN AVE, DEARBORN, MI 48126-2916
(313) 582-2142
(313) 582-8627
Mailing address
6950 CARLYLE CROSSING, WEST BLOOMFIELD, MI 48322-3082
(313) 582-2142
(313) 582-8627
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
06/24/2008
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