Individual
DR. GHAZWAN IMAD BAHRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 746-3681
Mailing address
239 FALLS XING, MADISON, MS 39110-5603
(769) 666-9486
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351053428
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MS
Other
Enumeration date
03/21/2023
Last updated
07/01/2024
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