SearchMichigan207R00000X

Jed Ig-Izevbekhai, DO

NPI 1992447585 · on the registry since 2022 · sole proprietor

Practice

Address
4201 Saint Antoine St # 9c
Detroit, MI 48201
Phone
(651) 587-1924
Clinicians at this address
87

Additional practice sites

  • 1201 W 38th St, Austin, TX

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-07

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