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
Phone: (260) 432-1568
Fax: (260) 432-4969
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578885315 | NPPES |
Ohio | MEDICAID | 0202979 | |
Ohio | MEDICAID | 201407460 |
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