Individual
DR. SAMAN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 TWIN PINE DR, SAINT LOUIS, MO 63131-4322
(312) 593-1560
Mailing address
920 TWIN PINE DR, SAINT LOUIS, MO 63131-4322
(312) 593-1560
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2015008871
MO
2085R0202X
Diagnostic Radiology Physician
64127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q061630
—
TN
Enumeration date
02/08/2012
Last updated
07/24/2025
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