DR. FIKRY F IBRAHIM MD NPI 1326067455

NPI Information

NPI: 1326067455
Provider Name: DR. FIKRY F IBRAHIM, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
20825 MACK AVE
GROSSE POINTE WOODS, MI
ZIP 48236
Phone: (313) 886-0006
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DR. Fikry F Ibrahim, MD is a hematology and oncology internal medicine in Grosse Pointe Woods, MI. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Fikry F Ibrahim, MD NPI is 1326067455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20825 MACK AVE
GROSSE POINTE WOODS, MI
ZIP 48236-485
Phone: (313) 886-0006

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	031520	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	031520	OTHER	MICHIGAN	MI MEDICAL LICENCE
2	38-219-6003	OTHER	MICHIGAN	FED TAX ID
3	B44566	MEDICARE UPIN	MICHIGAN
4	1375432	MEDICAID	MICHIGAN
5	06327	OTHER	MICHIGAN	HAP
6	08933N FS 2131520	OTHER	MICHIGAN	CHAMPUS
7	1108260481	OTHER	MICHIGAN	BCBSM
8	08260481111	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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