Bahae Mohammed Ebrahem

Internal Medicine Physician · Southgate, MI

Individual Active NPI

NPI number 1508059072

Practice location

12815 Northline Rd
Southgate, MI 48195-1109
Phone
(734) 284-2090

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NPI record

NPI
1508059072
Entity type
Individual (Type 1)
Enumeration date
August 19, 2007
Last updated
April 9, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 4301089436 MI

About Bahae Ebrahem

Bahae Mohammed Ebrahem is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 12815 Northline Rd, Southgate, MI 48195-1109. The NPI number 1508059072 was assigned on August 19, 2007 and the record was last updated on April 9, 2013.

Bahae Ebrahem lists a license in the registry: #4301089436 (MI) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bahae Mohammed Ebrahem?

The NPI number is 1508059072.

What is the phone number of Bahae Ebrahem?

The phone number listed for the practice location is (734) 284-2090.

Where is Bahae Ebrahem located?

12815 Northline Rd, Southgate, MI 48195-1109.

What is the taxonomy code for Bahae Ebrahem?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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