Individual
DR. BONITA A. MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MA
Contact information
Practice address
330 E BELTLINE AVE NE, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
(616) 752-6324
Mailing address
330 E BELTLINE AVE NE, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
(616) 752-6324
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301108356
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295055572
—
MI
Enumeration date
06/09/2010
Last updated
10/29/2021
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