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

Individual provider Acute Care Nurse Practitioner · NPI 1144096017

Mahnoor Ibadat, ACNPC-AG is a Nurse Practitioner in Royal Oak, Michigan. Qualified in 2023, 3 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-4021
Fax: (248) 898-1473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704344126 (MI)

Record details

NPI number1144096017
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedNovember 30, 2023
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Royal Oak