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MANSOOR IQBAL BHATTI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.A.C.

Contact information

Practice address
2040 MONROE ST, SUITE #209, DEARBORN, MI 48124-2921
(313) 359-3800
(313) 277-4100
Mailing address
2040 MONROE ST, SUITE #209, DEARBORN, MI 48124-2921
(313) 359-3800
(313) 277-4100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601002334
MI
363AM0700X
Medical Physician Assistant
Primary
5601002334
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1032778
CERTIFICATION NUMBER
MA
Enumeration date
06/03/2006
Last updated
09/11/2025
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