Individual ProviderRagheda IbrahimInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3601 W. 13 Mile Road, Royal Oak, MI 48073(248) 551-4024PECOS EnrollmentBased on the most recent information from CMS, provider Ragheda Ibrahim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1982819140Provider TypeIndividualFull NameIbrahim, RaghedaGenderFemaleSole ProprietorNoEnumeration Date5/11/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3601 W. 13 Mile Road, Royal Oak, MI 48073Phone(248) 551-4024FaxUnlisted FaxMailing LocationMailing Address3601 W. 13 Mile Road, Royal Oak, MI 48073PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301088244Michigan