MEDICARE: IBRAHIM CHEIKHALI

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
1	183500000X	Pharmacist	5302412849	MI

General Provider Information

NPI Number	:	1497344022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IBRAHIM CHEIKHALI

Provider Business Mailing Address
First Line	:	5927 BURGER ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2411
Country	:	US
Telephone Number	:	313-550-3354
Fax Number	:

Provider Business Practice Location Address
First Line	:	5927 BURGER ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2411
Country	:	US
Telephone Number	:	313-550-3354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2021
Last Update Date	:	01/18/2021

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Directions to “ IBRAHIM CHEIKHALI ” Practice Location

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