Individual
DR. ALI E IBRAHIM
Active
Individual
DR. ALI E IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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