Ibraheem, Monsuru O
Ibraheem, Monsuru O is an sole proprietor health care provider with primary practice located at 6970 W. Patrick Lane Suite 140, Las Vegas NV 89113-0270. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ibraheem, Monsuru O can be contacted via phone (702) 450-1717.Contact Information
Primary practice address
6970 W. Patrick Lane Suite 140
Las Vegas NV 89113-0270
Phone: (702) 450-1717
Fax: (702) 947-6740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2328501 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2328501 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11842 | Nevada |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 11842 | Nevada |
Profile Details
| NPI number | 1215906458 |
|---|---|
| LBN Legal business name | Ibraheem, Monsuru O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Aug 2nd, 2010 - about 14 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 | 1215906458 | NPPES |
| New York | MEDICAID | 02592047 |
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