Dr. Sophia I Mehboob, M.D.

Internal Medicine, Pulmonary Disease in Detroit, MI. Individual provider (NPI-1).

NPI number1861693772

StatusActive

Last updated in NPPESAug 31, 2021

Details

NPI: 1861693772
Entity type: Individual (NPI-1)
Name: Dr. Sophia I Mehboob
Credential: M.D.
Sex: Female
Sole proprietor: Yes
Enumeration date: May 29, 2007
Certification date: Aug 31, 2021
Last updated: Aug 31, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RP1001X	Internal Medicine, Pulmonary Disease	4301091877	MI	Yes
207R00000X	Internal Medicine	4301091877	MI
225100000X	Physical Therapist	5501010517	MI

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone 313-916-4906

Mailing address

15511 Reeck Rd
Southgate, MI 48195-2651

Phone 734-282-1117

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