Individual
DR. ALI E IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3085 HALLMARK CT STE 1, SAGINAW, MI 48603-6803
(989) 996-0566
(989) 401-2876
Mailing address
801 JOE MANN BLVD STE P-6, MIDLAND, MI 48642-8900
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301083191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0731093
BCBSM
MI
01
—
0999825
HEALTHPLUS
MI
05
—
1710089388
—
MI
01
—
381870664
TAX ID
MI
01
—
700G360210
BCBSM
MI
01
—
AI083191
LICENSE
MI
01
—
P00161003
RAILROAD MEDICARE
MI
Enumeration date
09/02/2006
Last updated
09/28/2022
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