Ibrahim, Fahmy
Ibrahim, Fahmy is an sole proprietor health care provider with primary practice located at 1501 Claus Rd , Modesto CA 95355-9711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Ibrahim, Fahmy can be contacted via phone (209) 558-4700.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 233005 | New York |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A89455 | California |
Profile Details
| NPI number | 1255424404 |
|---|---|
| LBN Legal business name | Ibrahim, Fahmy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Mar 24th, 2017 - about 7 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 | 1255424404 | NPPES |
| New York | MEDICAID | 02618720 |
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