Individual
DR. ABBAS BAHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 N MONROE ST, MONROE, MI 48162-4211
(734) 240-8480
(734) 384-0469
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(567) 585-1992
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35134956
OH
207T00000X
Neurological Surgery Physician
Primary
4301087953
MI
207T00000X
Neurological Surgery Physician
A121722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447469176
—
MI
01
—
MI6270077
MEDICARE PIN
MI
Enumeration date
05/21/2007
Last updated
04/15/2019
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