Individual
BASHAR NASOUR MOHAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R ST STE 615, DETROIT, MI 48201-2022
(313) 745-4195
(313) 993-8669
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57-019191
OH
207RG0100X
Gastroenterology Physician
Primary
4301109216
MI
Other
Enumeration date
09/22/2011
Last updated
01/09/2026
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