Jubran, Ihab

Jubran, Ihab is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Jubran, Ihab can be contacted via phone (800) 653-6256.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (800) 653-6256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27575 Alabama
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 4301111677 Michigan

Profile Details

NPI number 1649360645
LBN Legal business name Jubran, Ihab
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Oct 5th, 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 1649360645 NPPES
Alabama Other 51538078 BCBS SPRINGHILL AVE
Alabama MEDICAID 009939897 BCBS SPRINGHILL AVE
Alabama MEDICAID 277115200 BCBS SPRINGHILL AVE
Alabama MEDICAID 04377591 BCBS SPRINGHILL AVE
Alabama Other 51538077 BCBS SPRINGHILL AVE

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