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

Ibtissam Ahmed Balaa

Individual provider Technician/Technologist · NPI 1073248704

Ibtissam Ahmed Balaa is a Technician/Technologist in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Phone: (313) 406-5056
Show map & directions

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

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X (MI)

Record details

NPI number1073248704
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022

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