MEDICARE: SORABH DHAR 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	207R00000X	Internal Medicine Physician	4301093149	MI
2	207RI0200X	Infectious Disease Physician	4301093149	MI
3	207RI0200X	Infectious Disease Physician	35084079	OH

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	:	1619188737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SORABH DHAR MD

Provider Business Mailing Address
First Line	:	1560 E MAPLE ROAD
Second Line	:	SUITE 400-CREDENTIALING
City	:	TROY
State	:	MI
Zip	:	48083-1135
Country	:	US
Telephone Number	:	313-745-4525
Fax Number	:	313-577-3223

Provider Business Practice Location Address
First Line	:	3901 CHRYSLER DR
Second Line	:	SUITE 4A
City	:	DETROIT
State	:	MI
Zip	:	48201-2167
Country	:	US
Telephone Number	:	313-745-4525
Fax Number	:	313-577-3223

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

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	06/15/2026

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Directions to “ SORABH DHAR MD” Practice Location

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