Doctor Name: | DR. IBRAHIM A JAWAD |
NPI Number: | 1023092616 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301044506 |
Business Practice Address: | 30840 Northwestern Hwy Suite 300 Farmington Hills, MI - 483342552 |
Business Phone Number: | 2489328725 |
Business Fax Number: | 2489328977 |
Mailing Address: | 30840 Northwestern Hwy, Suite 300 FARMINGTON HILLS |
State: | MI |
Postal Code: | 483342552 |
Phone Number: | 2489328725 |
Fax Number: | 2489328977 |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 03/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 4301044506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |