Individual
IBRAHIM SAMEH IBRAHIM FANOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 FIFTH AVE FL 1, MCKEESPORT, PA 15132-2422
(412) 664-2782
(412) 664-2784
Mailing address
1500 FIFTH AVE FL 1, MCKEESPORT, PA 15132-2422
(412) 664-2782
(412) 664-2784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD471035
PA
Other
Enumeration date
08/17/2017
Last updated
09/25/2020
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