Individual
ISRAA ODAY GHANIM AL-GBURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44405 WOODWARD AVE, H-23, ST. JOSEPH MERCY OAKLAND, PONTIAC, MI 48341
(206) 612-6626
Mailing address
4045 LINKWOOD DRIVE, APT # 724, HOUSTON, TX 77025
(206) 612-6626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01090931A
IN
207R00000X
Internal Medicine Physician
Primary
IN PROCESS
MI
207RC0000X
Cardiovascular Disease Physician
01090931A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103692588
ANTHEM PTAN
IN
05
—
300078980
—
IN
Enumeration date
05/11/2017
Last updated
04/08/2026
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