Ibrahim Dakroub

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302414143 Issued in MI

Practice address

2025 Fort St
Wyandotte, MI 48192-3841

Phone

(734) 283-9640

NPI assigned

Feb 24, 2022

Last updated

Feb 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1932855343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14317 BARCLAY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 FORT ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923841",
            "telephone_number": "734-283-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKROUB",
        "first_name": "IBRAHIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aya H Dabaja, DO
• Ibrahim Hussein Dabaja, PA-C, PH.D.
• Zienab Dabaja
• NA Dai
• Denise Jean Dailing, PT
• Herman J. Daldin, PH.D.
• Bethany Dalessandro, AG-ACNP
• Candy Dao
• Diana Daoud
• Gale A Darnell, MD

• Pharmacist in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.