Individual
STEVE IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 W THOMAS RD, SUITE 900, PHOENIX, AZ 85013-4224
(602) 406-5590
(602) 406-7165
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4396
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116997
—
AZ
Enumeration date
08/31/2006
Last updated
04/20/2012
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