Ibrahim, Saad M.

Ibrahim, Saad M. is an individual health care provider with primary practice located at 7950 W Jefferson Blvd , Fort Wayne IN 46804-4140. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ibrahim, Saad M. can be contacted via phone (260) 432-1568.

Contact Information

Primary practice address
7950 W Jefferson Blvd Fort Wayne IN 46804-4140
Fax: (260) 432-4969
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01077855A Indiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01077855A Indiana

Profile Details

NPI number 1578885315
LBN Legal business name Ibrahim, Saad M.
Credentials M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2010
Last updated Mar 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578885315 NPPES
Ohio MEDICAID 0202979
Ohio MEDICAID 201407460

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