Ibrahim, Amal Shoukry

Ibrahim, Amal Shoukry is an individual health care provider with primary practice located at 565 N. Mt. Vernon Ave , San Bernardino CA 92411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ibrahim, Amal Shoukry can be contacted via phone (909) 884-9091.

Contact Information

Primary practice address
565 N. Mt. Vernon Ave San Bernardino CA 92411
Phone: (909) 884-9091
Fax: (909) 383-7013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A53803 California

Profile Details

NPI number 1134228943
LBN Legal business name Ibrahim, Amal Shoukry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 4th, 2016 - about 10 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 1134228943 NPPES
California Other 00A538030 MEDI-CAL

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