Individual
ELMOATAZ IBRAHIM
Active
Individual
ELMOATAZ IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094678
MI
2084N0400X
Neurology Physician
Primary
4301094678
MI
282NC0060X
Critical Access Hospital
—
—
390200000X
Student in an Organized Health Care Education/Training Program
57-014393
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-4754278
E.I. NEUROLOGY ASSOCIATES PLLC
MI
Enumeration date
09/12/2008
Last updated
11/23/2020
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