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NPI Code Detail

MEDICARE: SYED MUHAMMAD ALI IMRAN BUKHARI MD

MEDICARE: SYED MUHAMMAD ALI IMRAN BUKHARI MD
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
12084P0800XPsychiatry Physician35.125986OH
22084P0800XPsychiatry PhysicianA149584CA
32084P0800XPsychiatry PhysicianR4372TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013265677
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYED MUHAMMAD ALI IMRAN BUKHARI MD
Provider Business Mailing Address
First Line : 3341 REGENT BLVD STE 130
Second Line :
City : IRVING
State : TX
Zip : 75063-3132
Country : US
Telephone Number : 903-331-0506
Fax Number : 903-331-0462
Provider Business Practice Location Address
First Line : 6200 OVERTON RIDGE BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-3614
Country : US
Telephone Number : 817-361-1991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2012
Last Update Date : 04/08/2020

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