Organization
PARAMOUNT MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHAITH IBRAHIM M.D. (PRESIDENT)
(586) 757-6400
Entity
Organization
Contact information
Practice address
27560 HOOVER RD, WARREN, MI 48093-4505
(586) 757-6400
(586) 757-8400
Mailing address
PO BOX 1920, TROY, MI 48099-1920
(586) 757-6400
(586) 757-8400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
11/11/2010
Last updated
11/12/2010
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