MEDICARE: AMBER MAHMOOD BOKHARI 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
1	207RI0200X	Infectious Disease Physician	2017039621	MO
2	207RI0200X	Infectious Disease Physician	L.5083SP	AL

Other Identifiers

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

General Provider Information

NPI Number	:	1457864175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER MAHMOOD BOKHARI MD

Provider Business Mailing Address
First Line	:	PO BOX 40480
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36640-0480
Country	:	US
Telephone Number	:	251-434-3626
Fax Number	:	251-445-2464

Provider Business Practice Location Address
First Line	:	10004 KENNERLY RD STE 295B
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-2177
Country	:	US
Telephone Number	:	314-791-1108
Fax Number	:	314-375-5020

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

Provider Enumeration Date	:	11/16/2017
Last Update Date	:	06/16/2026

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Directions to “ AMBER MAHMOOD BOKHARI MD” Practice Location

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