Individual
ISRA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD # UH1501, INDIANAPOLIS, IN 46202-5149
(317) 962-8776
(317) 963-5285
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01082400A
IN
207R00000X
Internal Medicine Physician
4351038119
MI
208M00000X
Hospitalist Physician
A-178374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028263
—
IN
Enumeration date
06/23/2016
Last updated
06/05/2025
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