Provider Demographics
NPI:1609515998
Name:ALNIMER, KHABBAB MOHAMMAD AHMAD (MD)
Entity Type:Individual
Prefix:MR
First Name:KHABBAB
Middle Name:MOHAMMAD AHMAD
Last Name:ALNIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SINAI GRACE, HOSPITAL
Mailing Address - Street 2:6071 W. OUTER DRIVE, DEPT. OF INTERNAL MEDICINE
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:SINAI GRACE, HOSPITAL
Practice Address - Street 2:6071 W. OUTER DRIVE, DEPT. OF INTERNAL MEDICINE
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235
Practice Address - Country:US
Practice Address - Phone:313-518-3370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program