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

Bahae Mohammed Ebrahem

Individual provider Internal Medicine Physician · NPI 1508059072

Bahae Mohammed Ebrahem is an Internal Medicine in Southgate, Michigan. Qualified in 1989, 37 years ago. Practices with Southgate Medical Center PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
37
Licensed in
MI
In the registry since
2007
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Practice location Address checks out

12815 Northline Rd
Southgate, MI 48195-1109
Phone: (734) 284-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301089436 (MI)

Record details

NPI number1508059072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2007
Last updated in NPPESApril 9, 2013
Mailing address12815 Northline Rd, Southgate, MI 48195-1109

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Southgate Medical Center Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southgate