Organization
FAHMY IBRAHIM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHMY IBRAHIM M.D. (OWNER)
(718) 300-5714
Entity
Organization
Contact information
Practice address
1501 CLAUS ROAD, MODESTO, CA 95355
(209) 557-6300
(209) 555-7638
Mailing address
PO BOX 576649, MODESTO, CA 95357-6649
(209) 571-8330
(209) 491-7148
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
01/10/2011
Last updated
03/29/2017
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