Abdulrahman, Ibrahim A

Abdulrahman, Ibrahim A is an individual health care provider with primary practice located at 3900 S Zintel Way Kadlec Clinic - Kennewick Primary Care, Kennewick WA 99338. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Abdulrahman, Ibrahim A can be contacted via phone (509) 942-3125.

Contact Information

Primary practice address
3900 S Zintel Way Kadlec Clinic - Kennewick Primary Care Kennewick WA 99338
Phone: (509) 942-3125
Fax: (509) 783-2167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60105626 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60105626 Washington

Profile Details

NPI number 1801081948
LBN Legal business name Abdulrahman, Ibrahim A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Sep 16th, 2013 - about 11 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 1801081948 NPPES
Washington Other 0306281 L&I NUMBER WA STATE
Washington MEDICAID 1801081948 L&I NUMBER WA STATE
Washington Other 500625216 L&I NUMBER WA STATE

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