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IBTISSAM AHMED BALAA
NPI 1073248704
Technician/Technologist in Dearborn, MI

Active since July 18, 2022
19853 OUTER DR STE 110, DEARBORN, MI 48124(313) 406-5056 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 26, 2022, Jul 18, 2022 (2 updates tracked since 2022).

About Ibtissam Ahmed Balaa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IBTISSAM AHMED BALAA (NPI 1073248704) is an individual technician/technologist in Dearborn, Michigan and active in the NPI registry since July 2022.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1073248704
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameIBTISSAM AHMED BALAA
Location Address19853 OUTER DR STE 110Dearborn, MI 48124-2044
Mailing Address19853 Outer Dr Ste 110Dearborn, MI 48124-2044 · (313) 406-5056
Phone(313) 406-5056
Sole ProprietorNo
Enumeration DateJuly 18, 2022
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1073248704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

19853 OUTER DR STE 110, Dearborn, MI 48124
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

BETHANY PRESTON
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 712-2466
BREONNA EVERETT
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 621-4792
JUNAID RAZA
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 621-4792
SIMILOLUWA J OYINKOLADE
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 621-4792
MR. RASHAD GHASSAN MADARANI I
Student in an Organized Health Care Education/Training Program
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 621-4792
ANTWANETTE CONAWAY
Behavior Technician
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 621-4792
PARIS KNOX
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 621-4792
MS. MACKENZIE RAE KOWALEWICZ
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 621-4792
JAHAAN KOHARI BRITTMAN
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 621-4792
GRACE MARIE AKUA BIO
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 621-4792
KIMBERLEE COOK
Behavior Technician
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (248) 712-4266
DORION KEITH POUNCY SR.
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
SABRINA YAHYA
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
JADA DREANA TRIPLETT
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 978-7944
EMILY J DAVIS
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
CHANEL CHYNESE WILLIAMS
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
KAYLEAH ANN WETZEL
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
J. MONTGOMERY VANDYKE
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
MISS NOUR SATAR ALI
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
SAVANNAH KOHLER
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056

Frequently Asked Questions

What is Ibtissam Balaa's NPI number?

The NPI number assigned to this healthcare provider is 1073248704, enumerated as an "individual" on July 18, 2022.

Where is the provider located?

The provider is located at 19853 OUTER DR STE 110 DEARBORN, MI 48124 and the phone number is (313) 406-5056.

What is the provider's specialty?

Technician/Technologist with taxonomy code 156F00000X.