MOHAMAD IBRAHIM ITANI

DETROIT, MI
NPI1023698131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4351048223)
Enumeration Date2021-04-12
Last Update Date2021-05-06
Business Address
DR. MOHAMAD IBRAHIM ITANI MD
4201 SAINT ANTOINE ST # 9
DETROIT, MI 48201-2153
Phone number: 313-745-6047
Mailing Address
DR. MOHAMAD IBRAHIM ITANI MD
10 N CALVERT ST UNIT 914
BALTIMORE, MD 21202-4184
Phone number: 443-467-4149