Individual
DR. MUHAMMAD Y EBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
322 N PINE ST, SPARTANBURG, SC 29302-1631
(864) 582-5099
(864) 327-1098
Mailing address
322 N PINE ST, SPARTANBURG, SC 29302-1631
(864) 582-5099
(864) 327-1098
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
SC20986
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20053698
SELECT HEALTH
SC
05
—
209866
—
SC
05
—
6906287
—
NC
01
—
H086708516
MEDICARE
SC
01
—
P00319329
RAIL ROAD MEDICARE
SC
Enumeration date
01/20/2006
Last updated
11/15/2021
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