TAYLOR BAHOORA
Physician Assistant
Active
Individual
NPI: 1104632413
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1104632413 is the National Provider Identifier for TAYLOR BAHOORA, a Physician Assistant provider located in Detroit, MI. This NPI was enumerated on December 10, 2024.
TAYLOR BAHOORA practices at 259 MACK AVE, Detroit, MI 48201.
Quick Facts
- NPI
- 1104632413
- Type
- Individual
- Enumerated
- Dec 10, 2024
- Last Updated
- Aug 19, 2025
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