Individual
DR. IHAB MOHAMMED DEEBAJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6255 INKSTER RD, SUITE 204, GARDEN CITY, MI 48135-2577
(734) 524-0950
(734) 524-0951
Mailing address
1110 N TELEGRAPH RD, DEARBORN, MI 48128-1203
(313) 294-5400
(313) 294-5401
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301067420
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0994971
HEALTH PLUS
MI
01
—
0995040
HEALTH PLUS
—
01
—
1106355991
BCBS
MI
01
—
1109500421
BCN
MI
01
—
1109501061
BCN
MI
05
—
1205807260
—
MI
01
—
290F34972
BLUE CROSS COMMON PROVIDE
MI
05
—
4597407
—
MI
01
—
994970
HEALTH PLUS
MI
01
—
OF51015
BLUE CROSS GROUP
MI
01
—
P00643668
RAILROAD MEDICARE
MI
Enumeration date
01/30/2006
Last updated
09/16/2019
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