Amal Ebrahim, DDS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

2901022814 Issued in MI

Practice address

1500 E Medical Center Drive SPC 5831
C213 Medinn
Ann Arbor, MI 48109-5831

Phone

(734) 936-5950

Fax

(734) 232-5015

NPI assigned

Nov 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1609344761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E HOSPITAL DR",
            "address_2": "G1218 TOWSLEY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DRIVE SPC 5831",
            "address_2": "C213 MEDINN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095831",
            "telephone_number": "734-936-5950",
            "fax_number": "734-232-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIM",
        "first_name": "AMAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "2901022814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Ralph Eavy
• Mehran Ebadi-Tehrani, M.D.
• Robert Michael Eber, DDS MS
• Christina Eberle
• Madison Rodriguez Eberth
• Yumna Ebrahim
• Kelly C Eby, MOTRL
• Kimberly Nicole Eby, NP
• Jorge Echevesteguerrero, DNP, FNP-BC, RN
• Celia Echols

• Student in an Organized Health Care Education/Training Program in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.