Individual
DR. BENHUR BUSHARA MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12145 ELM ST, PRINCESS ANNE, MD 21853-1358
(410) 651-5135
(410) 651-4682
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101247414
VA
207Q00000X
Family Medicine Physician
Primary
D0071579
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
07/26/2007
Last updated
03/14/2016
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