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NPI Code Detail

MEDICARE: EBRAHIM NEUROLOGY PLLC

MEDICARE: EBRAHIM NEUROLOGY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician

General Provider Information

NPI Number : 1396687604
Entity Type Code : Organization
Provider Name (Legal Business Name) : EBRAHIM NEUROLOGY PLLC
Provider Business Mailing Address
First Line : 6124 W PARKER RD
Second Line :
City : PLANO
State : TX
Zip : 75093-8122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6124 W PARKER RD
Second Line :
City : PLANO
State : TX
Zip : 75093-8122
Country : US
Telephone Number : 972-403-3100
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : ALI EBRAHIM
Credential : MD
Telephone Number : 313-949-5894
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “EBRAHIM NEUROLOGY PLLC ” Practice Location

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