| Ghaith M Ibrahim Md Pc | |
|
27560 Hoover Rd Warren MI 48093-4505 | |
| (586) 757-6400 | |
| (586) 575-8400 |
| Full Name | Ghaith M Ibrahim Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 27560 Hoover Rd, Warren, Michigan |
| Authorized Official Name and Position | Marylou Zupko (MEDICAL BILLER) |
| Authorized Official Contact | 5867576400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghaith M Ibrahim Md Pc 27560 Hoover Rd Warren MI 48093-4505 Ph: (586) 757-6400 | Ghaith M Ibrahim Md Pc 27560 Hoover Rd Warren MI 48093-4505 Ph: (586) 757-6400 |
| NPI Number | 1962693804 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962693804 | NPI | - | NPPES |
| 4813806 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Michigan) | Primary |
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