Ibrahim, Mohammed

Ibrahim, Mohammed is an individual health care provider with primary practice located at 3577 W 13 Mile Rd Ste 103 , Royal Oak MI 48073-6710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ibrahim, Mohammed can be contacted via phone (248) 288-4500.

Contact Information

Primary practice address
3577 W 13 Mile Rd Ste 103 Royal Oak MI 48073-6710
Fax: (248) 288-0450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301081380 Michigan

Profile Details

NPI number 1891701082
LBN Legal business name Ibrahim, Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Apr 25th, 2019 - about 5 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 1891701082 NPPES
Michigan Other MI4989559 MEDICARE PTAN
Michigan MEDICAID 1891701082 MEDICARE PTAN

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