Individual
DR. EMAD L IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, JAMES A. HALEY VA HOSPITAL, TAMPA, FL 33612
(813) 972-2000
Mailing address
PO BOX 46245, TAMPA, FL 33646-0103
(813) 363-7818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0080417
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME0080417
FL
Other
Enumeration date
06/06/2006
Last updated
11/05/2008
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