Taylor Bahoora Valid NPI
Individual provider · Physician Assistant · Detroit, MI
- NPI
- 1104632413
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-12-10
- Last updated
- 2025-08-19
Practice location
259 Mack Ave
Detroit, MI 48201-2427
(171) 631-3577