Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. IBRAHIM HUSSEIN DABAJA, PA
DeactivatedMR. IBRAHIM HUSSEIN DABAJA, PA is a Medical Physician Assistant healthcare provider located in WYANDOTTE, Michigan. NPI 1053592238 is deactivated in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WYANDOTTE, MI
This NPI has been deactivated.
The record was deactivated on April 23, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1053592238
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2007 (13.432876712329 yrs)
- Last Updated
- Dec 19, 2022
- Deactivated
- Apr 23, 2021
- License
-
5601004858 (MI)
Practice Information
- Address
-
1768 FORD AVEWYANDOTTE, MI, 481922306Browse MI providers · Browse ZIP 48192
- Phone
- 3133775758
- Fax
- 7345746060
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WYANDOTTE, MI
| Name | Credential | NPI |
|---|---|---|
| JAN PRUSINOWSKI | P.A.-C | 1366413411 |
| MRS. LINDSAY MAUDRIE | P.A. | 1730413113 |
| VANESSA VARMA | PA-C | 1093010118 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.