National Provider Identifier
Mohamed M Ibrahim, M.D.
Mohamed M Ibrahim, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Lockport, NY and a listed phone number of (716) 341-3983.
Profile Overview
- NPI
- 1154379295
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- May 04, 2006
- Last Updated
- July 10, 2012
Practice Location
- 15 Elizabeth Dr
- Lockport, NY 14094-5226
Phone: (716) 341-3983
Specialties
- Surgery Physician (208600000X)
- Pediatric Surgery Physician (2086S0120X)
Full Record
- NPI
- 1154379295
- Entity Type
- Individual
- Last Name
- Ibrahim
- First Name
- Mohamed
- Middle Name
- M
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 15 Elizabeth Dr
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-5226
- Mailing Country
- US
- Mailing Phone
- (716) 341-3983
- Mailing Fax
- (716) 433-6388
- Practice Street Address
- 15 Elizabeth Dr
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5226
- Practice Country
- US
- Practice Phone
- (716) 341-3983
- Practice Fax
- (716) 433-6388
- Enumeration Date
- May 04, 2006
- Last Updated
- July 10, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X), Pediatric Surgery Physician (2086S0120X)
- Other Identifiers
- 02836482 (NY)