Fahsah, Ibrahim
Fahsah, Ibrahim is an individual health care provider with primary practice located at 201 Abraham Flexner Way Ste 903 , Louisville KY 40202-3832. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Fahsah, Ibrahim can be contacted via phone (502) 916-1055.Contact Information
Primary practice address
201 Abraham Flexner Way Ste 903
Louisville KY 40202-3832
Phone: (502) 916-1055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 32990 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32990 | Kentucky |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 32990 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 32990 | Kentucky |
Profile Details
| NPI number | 1902846157 |
|---|---|
| LBN Legal business name | Fahsah, Ibrahim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 22nd, 2023 - about 3 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 | 1902846157 | NPPES |
| Kentucky | Other | 50019752 | PASSPORT |
| Kentucky | Other | 000057094O | PASSPORT |
| Kentucky | Other | 353176400 | PASSPORT |
| Kentucky | Other | 50031678 | PASSPORT |
| Kentucky | Other | 108285 | PASSPORT |
| Kentucky | MEDICAID | 200122110 | PASSPORT |
| Kentucky | Other | 5151604 | PASSPORT |
| Kentucky | Other | P00468647 | PASSPORT |
| Kentucky | MEDICAID | 64329907 | PASSPORT |
| Kentucky | Other | P00924103 | PASSPORT |
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