Search › Michigan › 103K00000X
Gina Ibrahim
NPI 1326663832 · on the registry since 2020
Practice
- Address
- 3002 Carpenter St
Hamtramck, MI 48212 - Phone
- (313) 288-9793
- Organisation at this address
- Key Of Life, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Additional practice sites
- 400 Renaissance Ctr Ste 2600, Detroit, MI
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
106S00000X
247200000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan