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GHAITH M IBRAHIM MD PC NPI 1962693804


NPI Profile

NPI: 1962693804
Provider Name: GHAITH M IBRAHIM MD PC
Classification:Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
27560 HOOVER RD
WARREN, MI
ZIP 48093
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Phone: (586) 757-6400

GHAITH M IBRAHIM MD PC is a gastroenterology internal medicine in Warren, MI. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GHAITH M IBRAHIM MD PC NPI is 1962693804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27560 HOOVER RD
WARREN, MI
ZIP 48093-505
Phone: (586) 757-6400
Fax: (586) 575-8400

The provider's authorized official is Marylou Zupko .
The authorized official title is Medical Biller and has the following contact phone number (586) 757-6400.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterology=========MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10P26180MEDICARE PINMICHIGAN
2G84226MEDICARE UPINMICHIGAN
34813806MEDICAIDMICHIGAN

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: 4/11/2021

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