Organization
COMMUNITY BRIDGES MANAGEMENT, INC.
Active
Other names
Community Bridges Integrated & Senior Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHAM I. AHMED PH.D, R.N. (OWNER/ADMINSITRATOR)
(734) 347-1462
Entity
Organization
Contact information
Practice address
31 OAKLAND AVE, 1ST FLOOR, SUITE E, PONTIAC, MI 48342-2019
(734) 347-1462
(810) 458-4187
Mailing address
PO BOX 489, LINDEN, MI 48451-0489
(734) 347-1462
(810) 458-4187
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301021837
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-0-B5-1547-0
BC/BS
MI
01
—
11285679
CAQH
MI
05
—
4944183
—
MI
Enumeration date
09/19/2007
Last updated
10/12/2009
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