| Doctor Name: | DR. SOPHIA I MEHBOOB |
| NPI Number: | 1861693772 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 5501010517 |
| Business Practice Address: | 2799 W Grand Blvd Detroit, MI - 482022608 |
| Business Phone Number: | 3139164906 |
| Business Fax Number: | |
| Mailing Address: | 15511 Reeck Rd, SOUTHGATE |
| State: | MI |
| Postal Code: | 481952651 |
| Phone Number: | 7342821117 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 01/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501010517 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |