Ibrahim, Kamal Musa

Ibrahim, Kamal Musa is an sole proprietor health care provider with primary practice located at 6001 W Outer Dr Suite 320, Detroit MI 48235-2614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ibrahim, Kamal Musa can be contacted via phone (313) 397-1907.

Contact Information

Primary practice address
6001 W Outer Dr Suite 320 Detroit MI 48235-2614
Phone: (313) 397-1907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301073747 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 51399 Kentucky

Profile Details

NPI number 1205862067
LBN Legal business name Ibrahim, Kamal Musa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated Oct 11th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205862067 NPPES
Michigan Other 1108249142 BCBS
Michigan Other KI073747 BCBS
Michigan MEDICAID 473188110 BCBS
Michigan Other P00226506 BCBS
Michigan MEDICAID 4713453 BCBS

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