Individual
SAMMUDEEN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
78046
AZ
Other
Enumeration date
08/15/2022
Last updated
11/03/2025
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