Individual
DR. BAKHTIAR MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(734) 464-0887
(734) 402-0254
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 793-6140
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086973
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301086973
MI
208M00000X
Hospitalist Physician
4301086973
MI
Other
Enumeration date
02/13/2008
Last updated
10/13/2017
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