MEDICARE: MUHAMMAD BAKLEH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	MB056774	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MB056774	OTHER	MI	BLUE CROSS BLUE SHIELD
2	0996126	OTHER	MI	HEALTH PLUS OF MICHIGAN
3	MB056774	OTHER	MI	BLUE CARE NETWORK
4	1008999	OTHER	MI	MCLAREN HEALTH ADVANTAGE
5	F25123	OTHER	MI	HEALTH ALLIANCE PLAN
6	1008999	OTHER	MI	MCLAREN HEALTH PLAN
7	16359	OTHER	MI	MCARE CLAIMS
8	P00068213	OTHER	MI	PALMETTO GBA RAILROAD

General Provider Information

NPI Number	:	1003921610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD BAKLEH M.D.

Provider Business Mailing Address
First Line	:	5040 VILLA LINDE PKWY
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3445
Country	:	US
Telephone Number	:	810-230-0788
Fax Number	:

Provider Business Practice Location Address
First Line	:	5040 VILLA LINDE PKWY
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3445
Country	:	US
Telephone Number	:	810-230-0788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	12/14/2018

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