Individual
DR. EMAD N. IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 TERRACINA BLVD STE 206, REDLANDS, CA 92373-4867
(909) 793-4336
(909) 793-3325
Mailing address
PO BOX 2200, REDLANDS, CA 92373-0722
(909) 793-3311
(909) 796-4158
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A51062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A510620
—
CA
Enumeration date
06/08/2006
Last updated
07/15/2022
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