Abbas, Ibraheem

Abbas, Ibraheem is an individual health care provider with primary practice located at 1301 Pennsylvania Ave , Fort Worth TX 76104-2122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Abbas, Ibraheem can be contacted via phone (817) 250-4906.

Contact Information

Primary practice address
1301 Pennsylvania Ave Fort Worth TX 76104-2122
Phone: (817) 250-4906
Fax: (817) 250-1815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q3624 Texas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X Q3624 Texas

Profile Details

NPI number 1245404649
LBN Legal business name Abbas, Ibraheem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245404649 NPPES
Texas MEDICAID 350591010

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