Mustafa S Bohra MD PLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MUSTAFA S BOHRA MD PLC

Practice address

15120 Michigan Ave
Dearborn, MI 48126-2916

Phone

(313) 582-2142

Fax

(313) 582-8627

NPI assigned

Sep 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mustafa S Bohra, MDNPI 1588651897

Title

Owner

Phone

(313) 582-2142

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mustafa Siraj Bohra, MD

  • Infectious Disease Physician
  • Dearborn, MI
  • NPI 1588651897
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1922199850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 CARLYLE CROSSING",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223082",
            "telephone_number": "313-582-2142",
            "fax_number": "313-582-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262916",
            "telephone_number": "313-582-2142",
            "fax_number": "313-582-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTAFA S BOHRA MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BOHRA",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-582-2142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Christine Musilli
• Enas Musleh
• Sumaya Musleh, PHARMD
• Salman Ali H. Muslem, M.D.
• Eman Ahmed Ahmed Mussed I
• Ayah Mustafa
• Tarif Hussein Mustafa Sr., MD
• Abdulhakim Mustapha
• Ali Mustapha, DMD
• Hussam H Mustapha

• Infectious Disease Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.