Individual provider · Type 1 NPI

Baher Kamelishacc Boctor, MD

Specialist · Detroit, MI

NPI number 1699710129 Active

Practice location

3990 John R St
Detroit, MI 48201-2018

Call (313) 745-8521 Map

Mailing address

PO Box 64000, Dwr 641546
Detroit, MI 48264-0001

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4301056652 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1699710129

Baher Kamelishacc Boctor, MD's National Provider Identifier is 1699710129, issued on Jun 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Detroit, MI. The record was last updated on Sep 20, 2012.