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Individual
DR. KAMAL MUSA IBRAHIM
Active
Individual
DR. KAMAL MUSA IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301073747
MI
208M00000X
Hospitalist Physician
Primary
51399
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108249142
BCBS
MI
05
—
4713453
—
MI
05
—
473188110
—
MI
01
—
KI073747
BLUE SHIELD
MI
01
—
P00226506
RR MEDICARE
MI
Enumeration date
06/24/2006
Last updated
10/11/2022
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