Ibrahim, Ihab J.
Ibrahim, Ihab J. is an sole proprietor health care provider with primary practice located at 672 Bert Kouns Industrial Loop , Shreveport LA 71118-5701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Ibrahim, Ihab J. can be contacted via phone (318) 572-2067.Contact Information
Primary practice address
672 Bert Kouns Industrial Loop
Shreveport LA 71118-5701
Phone: (318) 572-2067
Fax: (877) 991-8458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MA78363 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | MD.14699R | Louisiana |
Profile Details
| NPI number | 1043259880 |
|---|---|
| LBN Legal business name | Ibrahim, Ihab J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1043259880 | NPPES |
| New Jersey | MEDICAID | 0188093 | |
| New Jersey | Other | 146829 |
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