Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Marlin Bahoura, MD

Individual provider Psychiatry Physician · NPI 1790046191

Mark Marlin Bahoura, MD is a Psychiatry in Southfield, Michigan. Qualified in 2011, 15 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075
Phone: (248) 849-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301111749 (MI)

Record details

NPI number1790046191
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2012
Last updated in NPPESJune 29, 2018
Mailing address16001 W 9 Mile Rd, Southfield, MI 48075-4818

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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