Al-Sanouri, Ibrahim

Al-Sanouri, Ibrahim is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Al-Sanouri, Ibrahim can be contacted via phone (608) 251-6100.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1830
Phone: (608) 251-6100
Fax: (608) 258-5222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 4301075454 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301075454 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 51402 Wisconsin
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301075451 Michigan

Profile Details

NPI number 1356452833
LBN Legal business name Al-Sanouri, Ibrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 27th, 2020 - about 4 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 1356452833 NPPES
Wisconsin MEDICAID 1356452833

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