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Elite Sports & Regenerative Medicine Pllc

Sports Medicine (Family Medicine) Physician in Dearborn, MI · enumerated 2025 · authorized official Mohammad Ibrahim, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619863933

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Registry record

Entity type Organization (Type 2)
Legal business name Elite Sports & Regenerative Medicine Pllc
Practice address 1022 N Telegraph Rd Ste 2, Dearborn, MI, 48128
Phone (313) 764-0088
Fax (313) 254-3586
Enumeration date Jun 13, 2025
Last updated in NPPES Jun 13, 2025

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mohammad Ibrahim
Title Manager
Phone (313) 764-0088

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Elite Sports & Regenerative Medicine Pllc?
NPPES lists Mohammad Ibrahim (Manager) as the authorized official for this organization.
What is the NPI number for Elite Sports & Regenerative Medicine Pllc?
The NPI for Elite Sports & Regenerative Medicine Pllc is 1619863933, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-13.