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
Phone: (248) 288-4500
Fax: (248) 288-0450
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891701082 | NPPES |
Michigan | Other | MI4989559 | MEDICARE PTAN |
Michigan | MEDICAID | 1891701082 | MEDICARE PTAN |
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