Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 4301045201 | MI |
NPI | 1225006802 |
---|---|
Provider Name | Dr. Bahman B Joorabchi |
First Address | Bloomfield Hills, MI 48302 |
Second Address | Bloomfield Hills, MI 48302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2686722 | (05) | MI |
B44596 | (02) |