Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MB056774 | MI |
NPI | 1003921610 |
---|---|
Provider Name | Muhammad Bakleh |
First Address | Flint, MI 48532-3445 |
Second Address | Flint, MI 48532-3445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 14/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0996126 | HEALTH PLUS OF MICHIGAN (01) | MI |
1008999 | MCLAREN HEALTH ADVANTAGE (01) | MI |
1008999 | MCLAREN HEALTH PLAN (01) | MI |
16359 | MCARE CLAIMS (01) | MI |
F25123 | (02) | MI |
F25123 | HEALTH ALLIANCE PLAN (01) | MI |
MB056774 | BLUE CARE NETWORK (01) | MI |
MB056774 | BLUE CROSS BLUE SHIELD (01) | MI |
P00068213 | PALMETTO GBA RAILROAD (01) | MI |