Ibrahim, Ihab
Ibrahim, Ihab is an individual health care provider with primary practice located at 1415 E Kincaid St Hospitalists Office, Mount Vernon WA 98274-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ibrahim, Ihab can be contacted via phone (360) 416-5750.Contact Information
Primary practice address
1415 E Kincaid St Hospitalists Office
Mount Vernon WA 98274-4126
Phone: (360) 416-5750
Fax: (360) 416-5758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-7946 | Hawaii |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TD60482949 | Washington |
Profile Details
| NPI number | 1417062712 |
|---|---|
| LBN Legal business name | Ibrahim, Ihab |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 20th, 2014 - about 10 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 | 1417062712 | NPPES |
| Washington | MEDICAID | 1417062712 |
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