Boulos, Martha Saad Ibrahim

Boulos, Martha Saad Ibrahim is an individual health care provider with primary practice located at 4000 Coliseum Dr Ste. 200, Hampton VA 23666-5906. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Boulos, Martha Saad Ibrahim can be contacted via phone (757) 736-8050.

Contact Information

Primary practice address
4000 Coliseum Dr Ste. 200 Hampton VA 23666-5906
Phone: (757) 736-8050
Fax: (757) 736-8080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101246181 Virginia
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 0101246181 Virginia

Profile Details

NPI number 1548261787
LBN Legal business name Boulos, Martha Saad Ibrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 14th, 2014 - 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 1548261787 NPPES
New York MEDICAID 02596743

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