# MUSTAFA S BOHRA MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922199850
- **Authorized official:** MUSTAFA S BOHRA MD (OWNER)
- **Authorized official phone:** (313) 582-2142

## Contact information

- **Practice address:** 15120 MICHIGAN AVE, DEARBORN, MI 48126-2916
- **Practice address phone:** (313) 582-2142
- **Practice address fax:** (313) 582-8627
- **Mailing address:** 6950 CARLYLE CROSSING, WEST BLOOMFIELD, MI 48322-3082
- **Mailing address phone:** (313) 582-2142
- **Mailing address fax:** (313) 582-8627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 06/24/2008