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

Ebrahim Abdelrazzak, MD

Individual provider Internal Medicine Physician · NPI 1215458922

Ebrahim Abdelrazzak, MD is an Internal Medicine in Owosso, Michigan. Qualified in 2017, 9 years ago. Practices with Memorial Hospital, a 206-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

802 W King St Ste J
Owosso, MI 48867-2100
Phone: (989) 729-4071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 826 W King St Ste 200, Owosso, MI 48867-2120 — (989) 729-4071

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 4301500822 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301112924 (MI)

Record details

NPI number1215458922
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2017
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address802 W King St Ste J, Owosso, MI 48867-2100

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPULMONARY DISEASE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Memorial Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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