Individual provider · NPI-1

Ibrahim Mohamed Abdullah, MD

Internal Medicine · Detroit, MI

NPI number1225395692
StatusActive
Last updated in NPPESOct 31, 2023

Details

NPI
1225395692
Entity type
Individual (NPI-1)
Name
Ibrahim Mohamed Abdullah
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 23, 2012
Certification date
Oct 31, 2023
Last updated
Oct 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4301100881MIYes
208M00000X Hospitalist4301100881MI

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone 313-916-1888

Mailing address

3089 Hanley St
Hamtramck, MI 48212-3577

Phone 313-850-6222

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