Healthcare Provider Details

I. General information

NPI: 1386562932
Provider Name (Legal Business Name): AHMED ESTABRAQ AL-JANABI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DETROIT MEDICAL CENTER, GME OFFICE, 4201 ST. ANTOINE, UHC-9C
DETROIT MI
48201
US

IV. Provider business mailing address

5557 WHITFIELD COURT
TROY MI
48098
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-7888
  • Fax:
Mailing address:
  • Phone: 248-825-0345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: