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Individual

DR. MOHAMMED N IBRAHIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
50 MAPLE ST, SPRINGFIELD, MA 01103-1979
(413) 748-6484
Mailing address
50 MAPLE ST # M, SPRINGFIELD, MA 01103-1979
(413) 748-6484

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
291669
MA
207RI0011X
Interventional Cardiology Physician
Primary
291669
MA
390200000X
Student in an Organized Health Care Education/Training Program
276861
MA

Other

Enumeration date
04/06/2015
Last updated
05/15/2025
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