Basic Information
Provider Information
NPI: 1952560831
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOOR
FirstName: MUHAMMAD
MiddleName: R.
NamePrefix: DR.
NameSuffix:  
Credential: M.D., DABIM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 781076
Address2:  
City: DETROIT
State: MI
PostalCode: 482781076
CountryCode: US
TelephoneNumber: 3175284800
FaxNumber: 1786514793
Practice Location
Address1: 24800 SE STARK ST
Address2:  
City: GRESHAM
State: OR
PostalCode: 970303378
CountryCode: US
TelephoneNumber: 5034138407
FaxNumber: 5034136951
Other Information
ProviderEnumerationDate: 06/05/2008
LastUpdateDate: 03/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300XMD177219ORY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology
207R00000XMD13724RIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X01074544BINN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RN0300X01074544BINN Allopathic & Osteopathic PhysiciansInternal MedicineNephrology
207RN0300X13914NDN Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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