Jawad, Ibrahim A

Jawad, Ibrahim A is an individual health care provider with primary practice located at 20671 Williamsburg Rd , Dearborn Heights MI 48127-2757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jawad, Ibrahim A can be contacted via phone (313) 903-2100.

Contact Information

Primary practice address
20671 Williamsburg Rd Dearborn Heights MI 48127-2757
Phone: (313) 903-2100
Fax: (844) 225-2914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301044506 Michigan

Profile Details

NPI number 1023092616
LBN Legal business name Jawad, Ibrahim A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Oct 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023092616 NPPES
Michigan Other 700F319250 BLUE SHIELD
Michigan MEDICAID 1023092616 BLUE SHIELD
Michigan Other 110241691 BLUE SHIELD

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