Choudhury, Mustafizur
Choudhury, Mustafizur is an sole proprietor health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Choudhury, Mustafizur can be contacted via phone (800) 653-6568.Contact Information
Primary practice address
2799 W Grand Blvd
Detroit MI 48202-2608
Phone: (800) 653-6568
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 15621 | North Dakota |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 5101019831 | Michigan |
Profile Details
| NPI number | 1073877999 |
|---|---|
| LBN Legal business name | Choudhury, Mustafizur |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2012 |
| Last updated | Apr 14th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073877999 | NPPES |
| Michigan | MEDICAID | 1073877999 | |
| Michigan | Other | 5823530 |
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