Mona Rizk Ibrahim, DDS, MPH, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Practice address

Detroit Health Dept. - Herman Kiefer Health Complex
1151 Taylor Street, 7TH Floor Pediatric Dental Clinic
Detroit, MI 48202-1732

Phone

(313) 876-4087

Fax

(313) 871-1589

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093846974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DETROIT HEALTH DEPT. - HERMAN KIEFER HEALTH COMPLEX",
            "address_2": "1151 TAYLOR STREET, 7TH FLOOR PEDIATRIC DENTAL CLINIC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-876-4087",
            "fax_number": "313-871-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DETROIT HEALTH DEPT. - HERMAN KIEFER HEALTH COMPLEX",
            "address_2": "1151 TAYLOR STREET, 7TH FLOOR PEDIATRIC DENTAL CLINIC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-876-4087",
            "fax_number": "313-871-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MONA",
        "middle_name": "RIZK",
        "credential": "DDS, MPH, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3191980",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danilla A Ibrahim
• John-Mina Ibrahim, M.D.
• Kamal Musa Ibrahim, MD
• Maryo Ibrahim
• Merna Yasser Ibrahim, M.D.
• Mostafa A. Ibrahim, M.D.
• Muhammad Ibrahim
• Noori Mikhael Ibrahim, MD
• Rami Boutros Ibrahim, PHARMD, DO
• Rula Ibrahim

• Pediatric Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.