Individual
MOHAMAD S RAHBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18263 E 10 MILE RD, SUITE D, ROSEVILLE, MI 48066-5805
(586) 778-4950
(586) 778-4952
Mailing address
19070 E 10 MILE RD, EASTPOINTE, MI 48021-1449
(586) 778-4950
(586) 778-4952
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301076911
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4652465
—
MI
01
—
700E012740
BCBS GROUP NUMBER
MI
01
—
MR076911
BCBSM
MI
Enumeration date
09/06/2005
Last updated
09/13/2018
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