Bohra, Mustafa Siraj

Bohra, Mustafa Siraj is an sole proprietor health care provider with primary practice located at 15120 Michigan Ave , Dearborn MI 48126-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bohra, Mustafa Siraj can be contacted via phone (313) 582-2142.

Contact Information

Primary practice address
15120 Michigan Ave Dearborn MI 48126-2916
Phone: (313) 582-2142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301067914 Michigan

Profile Details

NPI number 1588651897
LBN Legal business name Bohra, Mustafa Siraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2005
Last updated Jun 24th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588651897 NPPES
Michigan MEDICAID 4566492
Michigan Other 743107704

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