Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 4301086137 | MI |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 4301086137 | MI |
NPI | 1134166200 |
---|---|
Provider Name | Ray O Bahado-Singh |
First Address | Southfield, MI 48033-3849 |
Second Address | Beverly Hills, MI 48025-5439 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 23/10/2020 |