Individual
SHERRINE ADELE IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD # UH2440, INDIANAPOLIS, IN 46202-5149
(317) 944-8182
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01072865A
IN
207V00000X
Obstetrics & Gynecology Physician
35.095530
OH
207V00000X
Obstetrics & Gynecology Physician
P21388
MD
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01072865A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000889984
ANTHEM PTAN
IN
05
—
201177680
—
IN
01
—
P01678711
MEDICARE RR
IN
Enumeration date
01/29/2007
Last updated
03/10/2025
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