Ibrahim, Homam
Ibrahim, Homam is an sole proprietor health care provider with primary practice located at 11886 Healing Way Ste 403 , Silver Spring MD 20904-7917. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ibrahim, Homam can be contacted via phone (832) 618-6687.Contact Information
Primary practice address
11886 Healing Way Ste 403
Silver Spring MD 20904-7917
Phone: (832) 618-6687
Fax: (212) 263-8534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2015-00985 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 284258 | New York |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 284258-1 | New York |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 0101279579 | Virginia |
Profile Details
| NPI number | 1114150257 |
|---|---|
| LBN Legal business name | Ibrahim, Homam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2009 |
| Last updated | May 28th, 2024 - about last year |
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 | 1114150257 | NPPES |
| North Carolina | MEDICAID | 1114150257 |
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