MOHAMMED IBRAHIM (NPI# 1891701082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891701082 |
| Entity Type | Individual |
| Full Name | MOHAMMED IBRAHIM |
| Credential | MD |
| Practice Address |
3577 W 13 Mile Rd Ste 103 Royal Oak MI 48073-6710 |
| Mailing Address |
29992 Northwestern Hwy Ste C Farmington Hills MI 48334-3292 |
| Practice Telephone | 2482884500 |
| Practice Fax Number | 2482880450 |
| Mailing Telephone | 2488511430 |
| Mailing Fax Number | 2488515182 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301081380 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1891701082 | 05 | |
| MI | MEDICARE PTAN | MI4989559 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255785465 | Mohammed Arif Ibrahim | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave # Mlc100, Cincinnati, OH 45229-3026 | 2016-04-14 |
| 1093035164 | Mohammed Ibrahim | Pharmacist | 820 S Pemberton Rd, Bloomfield, MI 48302-1443 | 2010-06-10 |
| 1306056528 | Mohammed A Ibrahim | Physical Therapist | 4346 Foxrun Dr, Chino Hills, CA 91709-6115 | 2007-05-23 |
| 1184019143 | Mohammed N Ibrahim | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury, CT 06810 | 2015-04-06 |
| 1245546407 | Mohammed Usman Ibrahim | Family Medicine | 2100 Hedgcoxe Rd Ste 120, Plano, TX 75025-3163 | 2010-08-26 |
| Street Address |
3577 W 13 MILE RD STE 103 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548405533 | Megan Dietrich | Physician Assistant | 3577 W 13 Mile Rd Ste 103, Royal Oak, MI 48073-6710 | 2008-12-05 |
| 1548475387 | Padmaja Venuturumilli | Internal Medicine | 3577 W 13 Mile Rd Ste 103, Royal Oak, MI 48073-6710 | 2007-05-14 |
| 1932271061 | Hematology Oncology Consultants PC | Specialist | 3577 W 13 Mile Rd Ste 103, Royal Oak, MI 48073-6710 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659634772 | Leann Michelle Blankenship | Internal Medicine | 3577 W 13 Mile Rd Ste 202, Royal Oak, MI 48073-6710 | 2012-06-22 |
| 1033179973 | Dana Zakalik | Internal Medicine | 3577 W 13 Mile Rd Ste 140, Royal Oak, MI 48073-6710 | 2006-03-24 |
| 1285634857 | Kurt Harrison Neumann | Internal Medicine | 3577 W 13 Mile Rd, Suite 103, Royal Oak, MI 48073-6710 | 2005-07-26 |
| 1912219221 | Center for Hematology & Oncology Care | Internal Medicine | 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073-6710 | 2010-07-02 |
| 1972723385 | Janet L Chapman | Internal Medicine | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2007-04-26 |
| 1003930215 | Matthew Burns Cotant | Internal Medicine | 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073-6710 | 2007-03-16 |
| 1750431102 | Cancer Care Associates PC | Internal Medicine | 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073-6710 | 2007-01-10 |
| 1205885027 | William Beaumont Hospital | Internal Medicine | 3601 W 13 Mile Rd, 400 Fsc PCs, Royal Oak, MI 48073-6712 | 2006-05-09 |
| 1114987047 | Michael J Stender | Internal Medicine | 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073-6710 | 2006-03-24 |
| 1871552414 | Marianne T Huben | Internal Medicine | 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073-6710 | 2006-03-22 |
| Find all providers in ROYAL OAK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.