Individual
DR. IBRAHIM A MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19550 E 39TH ST S, SUITE 400, INDEPENDENCE, MO 64057-2303
(816) 254-4800
(816) 254-4641
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
(618) 257-6679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-34405
KS
208M00000X
Hospitalist Physician
Primary
036-147746
IL
208M00000X
Hospitalist Physician
2009021594
MO
Other
Enumeration date
02/21/2006
Last updated
05/13/2026
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