Individual
AMIT BHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301063580
MI
207RG0100X
Gastroenterology Physician
Primary
4301063580
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336881110
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
AB063580
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/01/2006
Last updated
12/13/2012
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