GHAITH M IBRAHIM MD PC – NPI #1962693804
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

GHAITH M IBRAHIM MD PC is a provider located in WARREN, MI. NPPES has assigned the NPI number 1962693804 to GHAITH M IBRAHIM MD PC on August 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GHAITH M IBRAHIM MD PC below.

NPI Profile for
GHAITH M IBRAHIM MD PC

NPI Number
1962693804
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GHAITH M IBRAHIM MD PC
Primary location
27560 HOOVER RD
WARREN, MI 48093-4505
Phone: (586) 757-6400 Fax: (586) 575-8400
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARYLOU ZUPKO
MEDICAL BILLER
Phone: (586) 757-6400
Updated
Identifiers

Identifiers for GHAITH M IBRAHIM MD PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI4813806
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
MI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.