Jose Antonio Bouffard, MD
Jose Antonio Bouffard, MD is a Diagnostic Radiology in Detroit, Michigan. Qualified in 1980, 46 years ago. Practices with Basha Diagnostics P C, a 27-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 46
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
261 Mack Ave Rm 215Detroit, MI 48201-2417
Phone: (313) 966-2539
Fax: (313) 993-2630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nuclear Imaging & Therapy Physician (primary) | Taxonomy 207UN0902X · Licence 4301044748 (MI) |
|---|
Record details
| NPI number | 1043388788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | December 1, 2006 |
| Last updated in NPPES | September 8, 2014 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1980 (46 years in practice) |
| Group practice | Basha Diagnostics P C — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |