Mark M Bahoura (NPI# 1790046191, PAC ID# 9032357041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1790046191 |
PAC ID by PECOS | 9032357041 |
Professional Enrollment ID | I20171206000074 |
Full Name | Mark M Bahoura |
Organization Legal Name | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
Address |
16001 W 9 Mile Rd Providence Hospital Southfield MI 48075-4818 |
Phone Number | 2488493000 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 6103738703 |
Number of Group Practice Members | 173 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 | 2488493000 | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
Organization Legal Name | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
Physicians | 32 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maria J Weaver | Nurse Practitioner | Providence - Providence Park Hospital | 21700 Northwestern Hwy 600, Providence Omni Medical, Southfield, MI 48075-4912 |
Crystal M Kulp | Physician Assistant | Providence - Providence Park Hospital | 22250 Providence Dr, Suite 705, Southfield, MI 48075-6215 |
Brittni R Merz | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
Cessalyn Y Harvey | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
Karen Magowan | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
Richard A Roodbergen | Physician Assistant | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
Gary Otsuji | Family Practice | Providence - Providence Park Hospital | 26750 Providence Pkwy, Novi, MI 48374-1211 |
Jerry H Rosenberg | Orthopedic Surgery | Providence - Providence Park Hospital | 26850 Providence Pkwy, Novi, MI 48374-1213 |
Karen Barnes Mitchell | Family Practice | Providence - Providence Park Hospital | 22250 Providence Dr, 301b, Southfield, MI 48075-6211 |
Leon H Morris | Internal Medicine | Providence - Providence Park Hospital | 30055 Northwestern Hwy 150, Farmington Hills, MI 48334-3211 |
Street Address |
16001 W 9 MILE RD PROVIDENCE HOSPITAL |
City | SOUTHFIELD |
State | MI |
Zip | 48075-4818 |
Name | Specialty | Organization | Address |
---|---|---|---|
Surinder Mendiratta | Internal Medicine | Surinder Mendiratta Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
Jenna Torigian | Physician Assistant | Independent Observation Physicians Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
Amanda M Diacono | Physician Assistant | Independent Emergency Physicians, P.C. | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 |
Khalid Sabah Zakaria | Internal Medicine | Independent Hospitalist Physicians Pllc | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 |
Timothy R Mervak | Pathology | Michigan Diagnostic Pathologists Pllc | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
Herman S Kado | Cardiovascular Disease (cardiology) | Michigan Healthcare Professionals PC | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
Joan M Placido | Clinical Social Worker | Ascension Providence Hospital | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 |
Claire Aubrey | Urology | Michigan Healthcare Professionals PC | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 |
Ann E Marsh Senic | Emergency Medicine | Independent Emergency Physicians, P.C. | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 |
Gregory Edwin Berger | Internal Medicine | Reliance Hospitalists Pllc | 16001 W 9 Mile Rd, St John Providence, Southfield, MI 48075-4818 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Phyllis J Yates | Psychologist, Clinical | 3000 Town Ctr, Suite 2575, Southfield, MI 48075-1102 | |
Josephine C Bello | Family Medicine | 25511 Southfield Rd, Suite 118, Southfield, MI 48075-1830 | |
James G Armstrong | Thoracic Surgery | Hamid Sattar Mdpc | 25130 Southfield Rd, Suite 105, Southfield, MI 48075-1900 |
Joanna Qiong Sattar | Nephrology | Ark Multispecialty Physicians Pllc | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 |
Johnny E Robinson | Chiropractic | Robinson Chiropractic and Personal Fitness Center PC | 25130 Southfield Rd, Southfield, MI 48075-1921 |
Yaakov G Zacks | Optometry | 16232 Sherfield Pl, Southfield, MI 48075-2061 | |
Jessica Knopp | Clinical Social Worker | Tender Heart East Inc | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Amanda N Scott | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Joseph A Reilly | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Laura L Williams | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Find all physicians in zip 48075 |
City | SOUTHFIELD |
Zip Code | 48075 |
Specialty | PSYCHIATRY |
City + Specialty | SOUTHFIELD + PSYCHIATRY |
Please comment or provide details below to improve the information on Mark M Bahoura.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.