Ibrahim, Manar S

Ibrahim, Manar S is an individual health care provider with primary practice located at 1501 S Waldron Rd Ste 100, Fort Smith AR 72903-2574. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ibrahim, Manar S can be contacted via phone (479) 709-7337.

Contact Information

Primary practice address
1501 S Waldron Rd Ste 100 Fort Smith AR 72903-2574
Fax: (479) 709-7461
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E0451 Arkansas

Profile Details

NPI number 1174510085
LBN Legal business name Ibrahim, Manar S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Aug 13th, 2010 - about 12 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 1174510085 NPPES
Oklahoma MEDICAID 100224660A
Oklahoma MEDICAID 127853001

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