Individual
HANAN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
31343
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2018
Last updated
09/06/2023
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