Ibrahim, Miriam Lela

Ibrahim, Miriam Lela is an individual health care provider with primary practice located at 1107 S Tillotson Ave Ste 1, Muncie IN 47304-4517. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Ibrahim, Miriam Lela can be contacted via phone (765) 213-3024.

Contact Information

Primary practice address
1107 S Tillotson Ave Ste 1 Muncie IN 47304-4517
Phone: (765) 213-3024
Fax: (765) 282-9303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01047444A Indiana

Profile Details

NPI number 1194768549
LBN Legal business name Ibrahim, Miriam Lela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 11th, 2019 - about 7 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 1194768549 NPPES
Indiana MEDICAID 20174740

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