# COMMUNITY BRIDGES MANAGEMENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Bridges Integrated & Senior Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598951931
- **Authorized official:** DR. IBRAHAM I. AHMED PH.D, R.N. (OWNER/ADMINSITRATOR)
- **Authorized official phone:** (734) 347-1462

## Contact information

- **Practice address:** 31 OAKLAND AVE, 1ST FLOOR, SUITE E, PONTIAC, MI 48342-2019
- **Practice address phone:** (734) 347-1462
- **Practice address fax:** (810) 458-4187
- **Mailing address:** PO BOX 489, LINDEN, MI 48451-0489
- **Mailing address phone:** (734) 347-1462
- **Mailing address fax:** (810) 458-4187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301021837 | MI | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 10/12/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08-0-B5-1547-0 | BC/BS | MI |
| 01 | — | 11285679 | CAQH | MI |
| 05 | — | 4944183 | — | MI |