Mustafa S Bohra MD Plc
Internal Medicine, Infectious Disease in Dearborn, MI. Organization (NPI-2).
Details
- NPI
- 1922199850
- Entity type
- Organization (NPI-2)
- Legal business name
- Mustafa S Bohra MD Plc
- Organization subpart
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Jun 24, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | Yes |
Practice location
15120 Michigan AveDearborn, MI 48126-2916
Phone 313-582-2142 · Fax 313-582-8627
Mailing address
6950 Carlyle CrossingWest Bloomfield, MI 48322-3082
Phone 313-582-2142 · Fax 313-582-8627
Authorized official
Mustafa S Bohra
Owner
3135822142
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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