Individual
DR. HASSAN M EBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 292-4670
(863) 292-4671
Mailing address
200 AVENUE F NORTHEAST, CANCER CTR, WINTER HAVEN, FL 33881
(863) 292-4670
(863) 292-4671
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 103579
FL
207RH0003X
Hematology & Oncology Physician
2013-00226
NC
207RH0003X
Hematology & Oncology Physician
Primary
ME 103579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306938774
—
NC
01
—
180AA
BCBS NC
NC
05
—
NC2239
—
SC
Enumeration date
09/29/2006
Last updated
04/07/2022
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