Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MS036409 | MI |
NPI | 1184638041 |
---|---|
Provider Name | Muhammad S Shurafa |
First Address | Grosse Pointe Woods, MI 48236-2857 |
Second Address | Grosse Pointe Woods, MI 48236-2857 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 31/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4512357 | (05) | MI |
D90180 | (02) | MI |