MEDICARE: DR. MIRIAM BISHAY 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	207V00000X	Obstetrics & Gynecology Physician	4351046745	MI

General Provider Information

NPI Number	:	1427675420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIRIAM BISHAY MD

Provider Business Mailing Address
First Line	:	1 FORD PL STE 3A
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-3450
Country	:	US
Telephone Number	:	313-874-4806
Fax Number	:

Provider Business Practice Location Address
First Line	:	25150 FORD RD STE 200
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3163
Country	:	US
Telephone Number	:	313-277-0400
Fax Number	:

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

Provider Enumeration Date	:	06/25/2020
Last Update Date	:	02/03/2026

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