Ibrahim, Ihab J.

Ibrahim, Ihab J. is an sole proprietor health care provider with primary practice located at 672 Bert Kouns Industrial Loop , Shreveport LA 71118-5701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Ibrahim, Ihab J. can be contacted via phone (318) 572-2067.

Contact Information

Primary practice address
672 Bert Kouns Industrial Loop Shreveport LA 71118-5701
Phone: (318) 572-2067
Fax: (877) 991-8458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MA78363 New Jersey
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD.14699R Louisiana

Profile Details

NPI number 1043259880
LBN Legal business name Ibrahim, Ihab J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Mar 17th, 2018 - about 8 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 1043259880 NPPES
New Jersey MEDICAID 0188093
New Jersey Other 146829

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