Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alaa Ibrahim

Individual provider Emergency Medicine Physician · NPI 1104512425

Alaa Ibrahim is an Emergency Medicine in Wyandotte, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
3
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (734) 246-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5151016154 (MI)

Record details

NPI number1104512425
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2023
Last updated in NPPESJuly 16, 2023
Certification dateJuly 16, 2023
Mailing address2333 Biddle Ave, Wyandotte, MI 48192-4668

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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