Elsamanoudi, Ibrahim
Elsamanoudi, Ibrahim is an individual health care provider with primary practice located at 201 E University Pkwy , Baltimore MD 21218-2829. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Elsamanoudi, Ibrahim can be contacted via phone (410) 554-2000.Contact Information
Primary practice address
201 E University Pkwy
Baltimore MD 21218-2829
Phone: (410) 554-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D0032500 | Maryland |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | D0032500 | Maryland |
Profile Details
| NPI number | 1215919980 |
|---|---|
| LBN Legal business name | Elsamanoudi, Ibrahim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Oct 25th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215919980 | NPPES |
| Maryland | MEDICAID | 279881600 |
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