Individual
MOHAMMAD S IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5900
(915) 215-8615
Mailing address
5130 GATEWAY BLVD E, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
241282
NY
2084A2900X
Neurocritical Care Physician
Primary
V5680
TX
2084N0400X
Neurology Physician
25MA08715100
NJ
2084N0400X
Neurology Physician
4301102124
MI
2084N0400X
Neurology Physician
V5680
TX
2084V0102X
Vascular Neurology Physician
V5680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252263
—
NJ
Enumeration date
08/11/2006
Last updated
10/08/2025
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