DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELMOATAZ IBRAHIM, M.D.

Active Sole Proprietor

ELMOATAZ IBRAHIM, M.D. is a Neurology healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1285883371 is currently active in the NPPES registry. Verify at CMS.

Neurology · CLINTON TOWNSHIP, MI

Registration Details

NPI Number
1285883371
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2008 (17.88737209116 yrs)
Last Updated
Nov 23, 2020
Licenses
4301094678 (MI)
57-014393 (OH)
4301094678 (MI)
Sole Proprietor
Yes

Practice Information

Address
15945 19 MILE RD
CLINTON TOWNSHIP, MI, 480381147
Browse MI providers · Browse ZIP 48038
Phone
5862630610
Fax
5862630834
Primary Specialty
Neurology
2084N0400X
Additional Specialty
Critical Access Hospital
Additional Specialty
Neurology

Other Neurology Providers in CLINTON TOWNSHIP, MI

Name Credential NPI
DR. JAY JOSEPH KANER DO 1316995384
DR. MANAF SEID-ARABI M.D. 1861440562
THOMAS GIANCARLO DO 1780627018
DAVID LUSTIG DO 1316971252
DR. ISAAC TURNER M.D. 1053335067
ANDREA ABOUSAMRA DO 1447786520
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.