Individual
DR. SOPHIA I MEHBOOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-4906
Mailing address
15511 REECK RD, SOUTHGATE, MI 48195-2651
(734) 282-1117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301091877
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301091877
MI
225100000X
Physical Therapist
5501010517
MI
Other
Enumeration date
05/29/2007
Last updated
08/31/2021
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