Provider Demographics
NPI:1578134284
Name:ZAHOOR, BILAL MOHAMMED (DDS)
Entity Type:Individual
Prefix:DR
First Name:BILAL
Middle Name:MOHAMMED
Last Name:ZAHOOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24689 PICARA DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-2976
Mailing Address - Country:US
Mailing Address - Phone:248-763-0457
Mailing Address - Fax:
Practice Address - Street 1:28550 SOUTHFIELD RD
Practice Address - Street 2:
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-2719
Practice Address - Country:US
Practice Address - Phone:248-557-5557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-03
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901601058122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist