Individual
DR. MOHAMMAD IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1022 N TELEGRAPH RD STE 2, DEARBORN, MI 48128-1622
(313) 764-0088
(313) 254-3586
Mailing address
1022 N TELEGRAPH RD STE 2, DEARBORN, MI 48128-1622
(313) 764-0088
(313) 254-3586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101027367
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5101027367
MI
Other
Enumeration date
05/12/2020
Last updated
08/05/2025
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