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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: August 23, 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.

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 NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RANIA AHMED HADARAH
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (406) 505-6313
MEGHAN HONORA ELIZABETH KELLEY
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
RANDY HUNTER JR.
Behavior Technician
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
REEM ABUSHAWISH
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
SAJA MAHMOUD
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
HADEL MAZLOUM
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
COREY MICHAEL GEARHAT
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056
MICHAEL ANDRE THIBAULT JR.
Technician/Technologist
19853 OUTER DR STE 110
DEARBORN, MI 48124
Wayne County (313) 406-5056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ibtissam Balaa's NPI number?

The NPI number for Ibtissam Balaa is 1073248704. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Ibtissam Balaa located?

Ibtissam Balaa practices at 19853 Outer Dr Ste 110, Dearborn, MI 48124. The listed phone number is (313) 406-5056.

What is Ibtissam Balaa's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Ibtissam Balaa was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.