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Individual

DR. AHMED IBRAHIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4800 ALBERTA AVE, EL PASO, TX 79905-2700
(915) 799-4341
Mailing address
10318 RESERVE DR APT 101, SAN DIEGO, CA 92127-3565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.098819
OH
207RC0000X
Cardiovascular Disease Physician
20592
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0066967
OH
Enumeration date
07/01/2010
Last updated
04/19/2021
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