Individual
DEAN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 455-0681
(816) 455-5294
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 455-0681
(816) 455-5294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020019060
MO
208M00000X
Hospitalist Physician
Primary
2020019060
MO
Other
Enumeration date
06/08/2017
Last updated
07/06/2020
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