Bahae M Ebrahem (NPI# 1508059072, PAC ID# 1951490903) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508059072 |
| PAC ID by PECOS | 1951490903 |
| Professional Enrollment ID | I20071129000059 |
| Full Name | Bahae M Ebrahem |
| Organization Legal Name | SOUTHGATE MEDICAL CENTER PLLC |
| Address |
13460 Fort St Southgate MI 48195-1138 |
| Phone Number | 7342842090 |
| Gender | M |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 2264688621 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230146 | HENRY FORD WYANDOTTE HOSPITAL |
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| Address | Phone | Organization |
|---|---|---|
| 13460 Fort St, Southgate, MI 48195-1138 | 7342842090 | SOUTHGATE MEDICAL CENTER PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SOUTHGATE MEDICAL CENTER PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amal M Abdul Hussein | Family Medicine | Southgate Medical Center Pllc | 13460 Fort St, Southgate, MI 48195-1138 |
| Street Address |
13460 FORT ST |
| City | SOUTHGATE |
| State | MI |
| Zip | 48195-1138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amal M Abdul Hussein | Family Medicine | Southgate Medical Center Pllc | 13460 Fort St, Southgate, MI 48195-1138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Baghdoian | Orthopedic Surgery | 13479 Northline Rd, Southgate, MI 48195-1064 | |
| Kate Schmoekel | Physical Therapy | Orthopedic Associates, P.C. | 13479 Northline Rd, Southgate, MI 48195-1064 |
| Ramalingeswara Yalamanchi | Internal Medicine | 13300 Northline Rd, Southgate, MI 48195-1065 | |
| Rajasingh Johnson | Physical Therapy | 13245 Northline Rd, Southgate, MI 48195-1070 | |
| Howard B Shore | Chiropractic | 13560 Northline Rd, Southgate, MI 48195-1080 | |
| Lisa A Marlow | Qualified Audiologist | Sheila M Ray Md PC | 13136 Fort St, Southgate, MI 48195-1102 |
| Sheila M Ray | Otolaryngology | Sheila M Ray Md PC | 13136 Fort St, Southgate, MI 48195-1102 |
| Ali Saad | Allergy/immunology | 12811 Northline Rd, Southgate, MI 48195-1109 | |
| Aaron L Scheinker | Optometry | 13350 Fort St, Southgate, MI 48195-1137 | |
| Edward I Nazareno | Family Practice | 13650 Fort St, Southgate, MI 48195-1152 | |
| Find all physicians in zip 48195 | |||
| City | SOUTHGATE |
| Zip Code | 48195 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SOUTHGATE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Bahae M Ebrahem.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.