Organization
MONSURU IBRAHEEM MD INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONSURU IBRAHEEM M.D. (PRESIDENT)
(646) 209-6746
Entity
Organization
Contact information
Practice address
1050 W GALLERIA DR, HENDERSON, NV 89011-4800
(702) 963-7000
Mailing address
PO BOX 98607, DEPT 2022, LAS VEGAS, NV 89193-8607
(646) 209-6746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11842
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510175
—
NV
Enumeration date
04/19/2007
Last updated
08/21/2019
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