Fikry F Ibrahim MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301031520 Issued in MI

Legal business name

FIKRY F IBRAHIM MD PC

Practice address

20825 Mack Ave
Grosse Pointe Woods, MI 48236-1485

Phone

(313) 886-0006

Fax

(313) 886-8523

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fikry F Ibrahim, MD

Title

Owner

Phone

(313) 886-0006

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1245443811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20825 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361485",
            "telephone_number": "313-886-0006",
            "fax_number": "313-886-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20825 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361485",
            "telephone_number": "313-886-0006",
            "fax_number": "313-886-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIKRY F IBRAHIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "FIKRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-886-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301031520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS LICENSE",
            "identifier": "1105260481",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101375432",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Falk, MD
• Maria Feldpausch, OTR/L
• Mya Hope Fells
• Ferrara Dermatology Clinic PC
• Richard John Ferrara Jr., MD
• Natalia Filipof
• Anna Lyn Finazzo
• Richard Sherman Fine, MD
• Joel T Fishbain, M.D.
• Janyia Lakenya Fisher

• Internal Medicine Physician in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.