Individual provider · Type 1 NPI
Ibraheem Maita
Student in an Organized Health Care Education/Training Program · Hazel Park, MI
NPI number
1396537221
Active
Practice location
22241 John R Rd Childrens Dental Specialists
Hazel Park, MI 48030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Sara HakStudent in an Organized Health Care Education/Training Program Hazel Park, MI NPI 1154256246
- Juliette ThomasStudent in an Organized Health Care Education/Training Program Hazel Park, MI NPI 1831986694
About NPI 1396537221
Ibraheem Maita's National Provider Identifier is 1396537221, issued on May 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hazel Park, MI. The record was last updated on Sep 11, 2025.