Individual
SYED MUHAMMAD ALI IMRAN BUKHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-3614
(817) 361-1991
Mailing address
3341 REGENT BLVD STE 130, IRVING, TX 75063-3132
(903) 331-0506
(903) 331-0462
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35.125986
OH
2084P0800X
Psychiatry Physician
A149584
CA
2084P0800X
Psychiatry Physician
Primary
R4372
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394699801
—
TX
Enumeration date
08/29/2012
Last updated
04/08/2020
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