Individual
NEIL IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-6900
(208) 625-6910
Mailing address
355 GRAND ST, INTERNAL MEDICINE DEPARTMENT, JERSEY CITY, NJ 07302-4321
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
2024039467
MO
208M00000X
Hospitalist Physician
Primary
M-16637
ID
Other
Enumeration date
05/08/2016
Last updated
12/03/2024
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