Goudiaby, Ibrahima

Goudiaby, Ibrahima is an individual health care provider with primary practice located at 18599 Lake Shore Blvd , Euclid OH 44119-1093. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goudiaby, Ibrahima can be contacted via phone (216) 383-5367.

Contact Information

Primary practice address
18599 Lake Shore Blvd Euclid OH 44119-1093
Phone: (216) 383-5367
Fax: (216) 383-5309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34.012064 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34012064 Ohio

Profile Details

NPI number 1851639504
LBN Legal business name Goudiaby, Ibrahima
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2013
Last updated Dec 30th, 2020 - about 6 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 1851639504 NPPES
Ohio MEDICAID 0132241

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