Individual
DR. DINA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6121 N THESTA ST STE 204, FRESNO, CA 93710-5294
(559) 554-2100
(559) 554-2114
Mailing address
7065 N. MAPLE AVE, STE 102, FRESNO, CA 93720
(559) 554-2100
(559) 554-2114
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C51181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4668885
ECFMG
—
01
—
C51181
CALIF. MEDICAL LICENSE
CA
01
—
CA1866078
INDIVIDUAL MEDICARE PTAN NUMBER
CA
01
—
ZZZ37565Z
GROUP PTAN
CA
Enumeration date
06/08/2006
Last updated
05/29/2025
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