Ihab J. Ibrahim in Shreveport - Interventional Pain Medicine
Ihab J. Ibrahim - NPI 1043259880
Ihab J. Ibrahim is a Interventional Pain Medicine in Shreveport, Louisiana. Ihab J. Ibrahim practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Ihab J. Ibrahim is 1043259880. The last update date is 2018-03-17.
Ihab J. Ibrahim's current location address is 635 Summerville Dr, Shreveport, Louisiana. You can contact this provider via phone number 3185722067. The mailing address for Ihab J. Ibrahim is 635 Summerville Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ihab J. Ibrahim |
|---|---|
| Address | 635 Summerville Dr, Shreveport, Louisiana |
| Phone Number | 3185722067 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043259880 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 635 Summerville Dr |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711153865 |
| Phone Number | 3185722067 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | MD.14699R |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 188093 | NJ | -- | |
| 146829 | NJ | MEDICARE ID-TYPE UNSPECIFIED |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ihab J. Ibrahim?
The Ihab J. Ibrahim has been issued the NPI (National Provider Identifier) 1043259880 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Ihab J. Ibrahim's physical address?
The Ihab J. Ibrahim is physically located at 635 Summerville Dr, in the city of Shreveport, LA, with the postal code 711153865.
What is the Ihab J. Ibrahim's area of specialization and corresponding taxonomy classification?
The Ihab J. Ibrahim's specialty field is Interventional Pain Medicine, and it falls under the taxonomy code 208Vp0014X, which categorizes healthcare providers based on their specialties.
On what date did the Ihab J. Ibrahim receive its 1043259880 assignment from the Centers for Medicare & Medicaid Services?
The Ihab J. Ibrahim was assigned its 1043259880 by the Centers for Medicare & Medicaid Services on 2006-06-06.
As of what date were the Ihab J. Ibrahim's details last updated?
The information pertaining to the Ihab J. Ibrahim, including its address, specialty, and other details, was most recently updated on 2018-03-17.