Individual
DR. HOMAM IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11886 HEALING WAY STE 403, SILVER SPRING, MD 20904-7917
(832) 618-6687
(212) 263-8534
Mailing address
11886 HEALING WAY STE 403, SILVER SPRING, MD 20904-7917
(832) 618-6687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015-00985
NC
207RC0000X
Cardiovascular Disease Physician
284258
NY
207RI0011X
Interventional Cardiology Physician
Primary
0101279579
VA
207RI0011X
Interventional Cardiology Physician
284258-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114150257
—
NC
Enumeration date
08/24/2009
Last updated
05/29/2025
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