Ebrahem, Bahae Mohammed
Ebrahem, Bahae Mohammed is an individual health care provider with primary practice located at 12815 Northline Rd , Southgate MI 48195-1109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ebrahem, Bahae Mohammed can be contacted via phone (734) 284-2090.Contact Information
Primary practice address
12815 Northline Rd
Southgate MI 48195-1109
Phone: (734) 284-2090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301089436 | Michigan |
Profile Details
| NPI number | 1508059072 |
|---|---|
| LBN Legal business name | Ebrahem, Bahae Mohammed |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2007 |
| Last updated | Apr 9th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508059072 | NPPES |
| Michigan | MEDICAID | 105222450 |
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