Individual
BAHADUR S BOHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1336 SOUTHFIELD RD, LINCOLN PARK, MI 48146-2319
(313) 388-0021
(313) 388-9464
Mailing address
1336 SOUTHFIELD RD, LINCOLN PARK, MI 48146-2319
(313) 388-0021
(313) 388-9464
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
BB043408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114557-10
—
MI
Enumeration date
08/12/2006
Last updated
07/08/2007
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