Individual
OMAR ABDELHAKIM IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
153 GULL DIP RD, RIDGE, NY 11961-2987
(347) 963-1637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11043
AZ
Other
Enumeration date
06/03/2022
Last updated
08/04/2025
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