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FAHIM K IBRAHIM M.D., P.C.
NPI 1225201767
Specialist in Fort Gratiot, MI

Active since April 04, 2008
4190 24TH AVE, SUITE 204, FORT GRATIOT, MI 48059(810) 989-7702(810) 989-7703 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fahim K Ibrahim M.d., P.c. NPPES

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

FAHIM K IBRAHIM M.D., P.C. (NPI 1225201767) is a healthcare organization registered as a specialist in Fort Gratiot, Michigan and active in the NPI registry since April 2008. The organization lists Hania Ibrahim, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225201767
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAHIM K IBRAHIM M.D., P.C.
Location Address4190 24TH AVE, SUITE 204Fort Gratiot, MI 48059-3882
Mailing Address4190 24th Ave, Suite 204Fort Gratiot, MI 48059-3882 · (810) 989-7702 · Fax (810) 989-7703
Phone(810) 989-7702
Fax(810) 989-7703
Organization SubpartNo
Authorized OfficialHania IbrahimOffice Manager · (810) 989-7702
Enumeration DateApril 4, 2008
Last NPPES UpdateOctober 19, 2011
✔ NPI 1225201767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · FI067033
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4190 24TH AVE, Fort Gratiot, MI 48059
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Other Identifiers 5

Other180028723MI · Palmetto Gba
Medicare PIN0P24320MI
Other1807400741MI · Blue Cross
Medicare UPINE18704MI
Medicaid3350540MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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.

BEVERLIE HOUSER AGPCNP-BC
Nurse Practitioner (Gerontology)
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
PRIME GARDEN CITY MEDICAL GROUP
Internal Medicine
4190 24TH AVE, SUITE 206
FORT GRATIOT, MI 48059
St. Clair County (810) 216-4000
FARRUKH ZAMAN NAQVI M.D.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
NEUROSLEEP CENTER PLLC
Psychiatry & Neurology (Sleep Medicine)
4190 24TH AVE, SUITE 210
FORT GRATIOT, MI 48059
St. Clair County (810) 216-1901
PRIME HEALTHCARE SERVICES-PORT HURON, LLC
Clinic/Center (Ambulatory Surgical)
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7700
DANIEL C SOUPHIS D.O.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
CHRISTOPHER J BORGIEL M.D.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
DONALD G GRENSTINER CRNA
Nurse Anesthetist, Certified Registered
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7649

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 Fahim K Ibrahim M.D., P.C.'s NPI number?

The NPI number for Fahim K Ibrahim M.D., P.C. is 1225201767. It was assigned to this organization in the NPPES registry on April 4, 2008.

Where is Fahim K Ibrahim M.D., P.C. located?

Fahim K Ibrahim M.D., P.C. is located at 4190 24th Ave Suite 204, Fort Gratiot, MI 48059. The listed phone number is (810) 989-7702.

What is Fahim K Ibrahim M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Fahim K Ibrahim M.D., P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Fahim K Ibrahim M.D., P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fahim K Ibrahim M.D., P.C. was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.