Individual
AHMED IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2920 S MCINTIRE DR STE 350, BLOOMINGTON, IN 47403-4215
(812) 353-3277
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01095370A
IN
390200000X
Student in an Organized Health Care Education/Training Program
94-09146
KS
Other
Enumeration date
05/12/2017
Last updated
02/10/2026
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