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Individual
DR. MAGED FAYEZ IBRAHIM
Active
Individual
DR. MAGED FAYEZ IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01071369A
IN
208000000X
Pediatrics Physician
4301076933
MI
208000000X
Pediatrics Physician
Primary
C141296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000778133
BCBS MEMORIALS CHILDRENS HOSPITAL
IN
01
—
000000781460
BCBS BMG MAIN STREET
IN
05
—
201079810
—
IN
05
—
4376460
—
MI
Enumeration date
08/01/2006
Last updated
05/24/2022
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