Individual
MR. IBRAHIM FAHSAH
Active
Individual
MR. IBRAHIM FAHSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
32990
KY
207R00000X
Internal Medicine Physician
32990
KY
207RC0000X
Cardiovascular Disease Physician
32990
KY
207RI0011X
Interventional Cardiology Physician
Primary
32990
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000057094O
HUMANA- CTS
KY
01
—
108285
ANTHEM- CTS
KY
05
—
200122110
—
IN
01
—
353176400
PASSPORT ADVANTAGE
KY
01
—
50019752
PASSPORT
KY
01
—
50031678
PASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
—
5151604
AETNA- CTS
KY
05
—
64329907
—
KY
01
—
P00468647
RAILROAD MEDICARE
KY
01
—
P00924103
RAILROAD MEDICARE- CTS
KY
Enumeration date
06/07/2006
Last updated
05/22/2023
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