Individual
DR. SULFIKAR IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 935-8773
(765) 935-8774
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-3293
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01067368A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200979370
—
IN
01
—
P01014248
RR MEDICARE
IN
Enumeration date
05/25/2007
Last updated
07/06/2018
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