Individual
DR. BAHRAM ELAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301068834
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301068834
MICHIGAN LICENSE
MI
05
—
4421824
—
MI
01
—
81-0557140
EMPLOYERS ID
MI
Enumeration date
10/27/2006
Last updated
02/28/2013
Update your record
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