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Organization

MUSTAFA S BOHRA MD PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUSTAFA S BOHRA MD (OWNER)
(313) 582-2142
Entity
Organization

Contact information

Practice address
15120 MICHIGAN AVE, DEARBORN, MI 48126-2916
(313) 582-2142
(313) 582-8627
Mailing address
6950 CARLYLE CROSSING, WEST BLOOMFIELD, MI 48322-3082
(313) 582-2142
(313) 582-8627

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Enumeration date
09/27/2006
Last updated
06/24/2008
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