Individual
RIMON M IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
312 HOSPITAL DR, CLINTWOOD, VA 24228-6786
(276) 926-0300
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101051077
VA
207R00000X
Internal Medicine Physician
Primary
0101051077
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010264995
—
VA
05
—
1811934698
—
VA
Enumeration date
06/01/2006
Last updated
03/19/2026
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