DR. RAMI BOUTROS IBRAHIM PHARMD DO NPI 1477651289

NPI Information

  • NPI: 1477651289
  • Provider Name: DR. RAMI BOUTROS IBRAHIM, PHARMD, DO
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4201 ST. ANTOINE
    UHC 9C
    DETROIT, MI
    ZIP 48201
  • Phone: (313) 745-5147

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NPI Details

DR. Rami Boutros Ibrahim, PHARMD, DO is a student in an organized health care education training program in Detroit, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Rami Boutros Ibrahim, PHARMD, DO NPI is 1477651289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4201 ST. ANTOINE
UHC 9C
DETROIT, MI
ZIP 48201-427
Phone: (313) 745-5147
Fax: (313) 966-0880

The NPI 1477651289 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist5302031866MICHIGANNo
21835P1200XPharmacistPharmacotherapy5302031866MICHIGANNo
3390200000XStudent in an Organized Health Care Education/Training Program5151013993MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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