IndividualActive
Alaa Ibrahim
NPI 1104512425 · Emergency Medicine Physician · Wyandotte, MI
Provider details
- NPI number
- 1104512425
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5151016154 (MI)
Mailing address
2333 Biddle Ave
Wyandotte, MI 48192-4668
Registry dates
- Enumerated
- 2023-04-11
- Last updated
- 2023-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.