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Individual
MOHAMMED IBRAHIM
Active
Individual
MOHAMMED IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301081380
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891701082
—
MI
01
—
MI4989559
MEDICARE PTAN
MI
Enumeration date
07/31/2006
Last updated
04/25/2019
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