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NPI Code Detail

MEDICARE: BILAL AL SIBAI MD

MEDICARE: BILAL AL SIBAI MD
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
1207R00000XInternal Medicine Physician35.156009OH
2208M00000XHospitalist Physician35.156009OH

General Provider Information

NPI Number : 1790489532
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILAL AL SIBAI MD
Provider Business Mailing Address
First Line : 22201 MOROSS RD STE 50
Second Line :
City : DETROIT
State : MI
Zip : 48236-2166
Country : US
Telephone Number : 313-343-7774
Fax Number : 313-343-8747
Provider Business Practice Location Address
First Line : 1111 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-3323
Country : US
Telephone Number : 419-557-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 05/01/2026

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