Basic Information
Provider Information
NPI: 1437191921
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BHURGRI
FirstName: AAMER
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: INTERNAL MEDICINE
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 901 N MACOMB ST
Address2:  
City: MONROE
State: MI
PostalCode: 481623083
CountryCode: US
TelephoneNumber: 7343842741
FaxNumber: 7343842061
Practice Location
Address1: 901 N MACOMB ST
Address2:  
City: MONROE
State: MI
PostalCode: 481623083
CountryCode: US
TelephoneNumber: 7343842741
FaxNumber: 7343842061
Other Information
ProviderEnumerationDate: 06/11/2006
LastUpdateDate: 12/15/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X4301077323MIY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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