Abbas, Ibraheem
Abbas, Ibraheem is an individual health care provider with primary practice located at 1301 Pennsylvania Ave , Fort Worth TX 76104-2122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Abbas, Ibraheem can be contacted via phone (817) 250-4906.Contact Information
Primary practice address
1301 Pennsylvania Ave
Fort Worth TX 76104-2122
Phone: (817) 250-4906
Fax: (817) 250-1815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Q3624 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | Q3624 | Texas |
Profile Details
| NPI number | 1245404649 |
|---|---|
| LBN Legal business name | Abbas, Ibraheem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2008 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1245404649 | NPPES |
| Texas | MEDICAID | 350591010 |
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