Organization
ADVANCE CARING PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL IBRAHIM MD (OWNER)
(313) 397-1907
Entity
Organization
Contact information
Practice address
7612 GRATIOT AVE, DETROIT, MI 48213-2822
(313) 397-1907
(313) 397-2125
Mailing address
PO BOX 871400, CANTON, MI 48187-7300
(313) 397-1907
(313) 397-2125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034692
DMC
MI
01
—
0H27415
BC
MI
05
—
2284578
—
MI
01
—
DS6002
RR
MI
Enumeration date
04/28/2011
Last updated
10/29/2015
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