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Contact Information

MOHANNAD IBRAHIM, MD
1500 EAST MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI48109-5030
 Phone: 734-936-4566
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for MOHANNAD IBRAHIM · (Male)

NPI Number 1639250871
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2006
Last updated 03/22/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301083814
  • MI Medicaid 4628334
Hospital affiliation(s)
  • UNIVERSITY OF MICHIGAN HEALTH SYSTEM - (Acute Care)
    1500 E MEDICAL CENTER DRIVE, SPC 5474
    ANN ARBOR, MI 48109
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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