Individual
DR. MONSURU O IBRAHEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6970 W. PATRICK LANE, SUITE 140, LAS VEGAS, NV 89113-0270
(702) 450-1717
(702) 947-6740
Mailing address
6970 W. PATRICK LANE, SUITE 140, LAS VEGAS, NV 89113-0270
(702) 450-1717
(702) 947-6740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11842
NV
207R00000X
Internal Medicine Physician
2328501
NY
208M00000X
Hospitalist Physician
11842
NV
208M00000X
Hospitalist Physician
2328501
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02592047
—
NY
Enumeration date
03/17/2006
Last updated
08/02/2010
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