Ibrahim, Syed T.

Ibrahim, Syed T. is an individual health care provider with primary practice located at 420 S Jackson St , Pottsville PA 17901-3625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ibrahim, Syed T. can be contacted via phone (570) 621-5500.

Contact Information

Primary practice address
420 S Jackson St Pottsville PA 17901-3625
Phone: (570) 621-5500
Fax: (570) 621-5077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 222749 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD444758 Pennsylvania
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X MD444758 Pennsylvania

Profile Details

NPI number 1447346127
LBN Legal business name Ibrahim, Syed T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jan 19th, 2017 - about 8 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 1447346127 NPPES
New York MEDICAID 02499585

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