# KAMAL IBRAHIM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558372458
- **Authorized official:** DR. KAMAL MUSA IBRAHIM MD (OWNER)
- **Authorized official phone:** (313) 397-1907

## Contact information

- **Practice address:** 7612 GRATIOT AVE, DETROIT, MI 48213-2822
- **Practice address phone:** (313) 397-1907
- **Practice address fax:** (313) 397-2125
- **Mailing address:** PO BOX 871400, CANTON, MI 48187-7300
- **Mailing address phone:** (313) 397-1907
- **Mailing address fax:** (313) 397-2125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301073747 | MI | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 10/29/2015