Individual
WAEL IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 257-1446
(859) 257-7572
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 257-1446
(859) 257-7572
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
56066
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
56066
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2019
Last updated
07/14/2023
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