Individual
MR. MUSTAFA SIRAJ BOHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15120 MICHIGAN AVE, DEARBORN, MI 48126-2916
(313) 582-2142
Mailing address
6950 CARLYLE CROSSING, WEST BLOOMFIELD, MI 48322-3082
(248) 471-5469
(248) 478-5307
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301067914
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4566492
—
MI
01
—
743107704
TAX IDENTIFICATION
MI
Enumeration date
10/03/2005
Last updated
06/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us