MEDICARE: HIRA MUKHTAR 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	2026-00088	NC
2	207R00000X	Internal Medicine Physician	4301506110	MI

General Provider Information

NPI Number	:	1679138051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIRA MUKHTAR MD

Provider Business Mailing Address
First Line	:	6071 W OUTER DR
Second Line	:	SINAI GRACE HOSPITAL- DEPARTMENT OF MEDICINE- 4 MAIN
City	:	DETROIT
State	:	MI
Zip	:	48235-2624
Country	:	US
Telephone Number	:	313-966-7434
Fax Number	:

Provider Business Practice Location Address
First Line	:	6071 W OUTER DR
Second Line	:	SINAI GRACE HOSPITAL- DEPARTMENT OF MEDICINE- 4 MAIN
City	:	DETROIT
State	:	MI
Zip	:	48235-2624
Country	:	US
Telephone Number	:	313-966-7434
Fax Number	:

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

Provider Enumeration Date	:	05/01/2019
Last Update Date	:	02/02/2026

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