Dr. Mohammad Ibrahim, DO
Family Medicine, Sports Medicine in Dearborn, MI. Individual provider (NPI-1).
NPI number1962024968
StatusActive
Last updated in NPPESAug 5, 2025
Details
- NPI
- 1962024968
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mohammad Ibrahim
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 12, 2020
- Certification date
- Aug 5, 2025
- Last updated
- Aug 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 5101027367 | MI | Yes |
| 207Q00000X | Family Medicine | 5101027367 | MI |
Practice location
1022 N Telegraph Rd Ste 2Dearborn, MI 48128-1622
Phone 313-764-0088 · Fax 313-254-3586
Mailing address
1022 N Telegraph Rd Ste 2Dearborn, MI 48128-1622
Phone 313-764-0088 · Fax 313-254-3586
Other practice locations
7575 Grand River Rd Ste 209
Brighton, MI 48114-9379
Brighton, MI 48114-9379
Phone 810-844-7950
205 N East Ave
Jackson, MI 49201-1753
Jackson, MI 49201-1753
Phone 517-205-3964
5900 Byron Center Ave Sw
Wyoming, MI 49519-9606
Wyoming, MI 49519-9606
Phone 616-252-7389
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