Mohamed Ibrahim, is a
Dentist based in Ruther Glen, Virginia. Mohamed Ibrahim is licensed to practice in Virginia (license number 041415899) and his current practice location is
18010 Jefferson Davis Highway, Ruther Glen, Virginia. He can be reached at his office (for appointments etc.) via phone at
(804) 589-1491.
NPI number for Mohamed Ibrahim is 1659888717 and his current mailing address is 154 Haven Avenue Apt #1202, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659888717.
Healthcare Provider's Profile
| Full Name | Mohamed Ibrahim |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 18010 Jefferson Davis Highway, Ruther Glen, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659888717
- Provider Enumeration Date: 01/10/2018
- Last Update Date: 01/10/2018
Medical Identifiers
Medical identifiers for Mohamed Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659888717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 041415899 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mohamed Ibrahim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mohamed Ibrahim,
154 Haven Avenue Apt #1202,
New York, NY 10032
Ph: (703) 624-8188 | Mohamed Ibrahim,
18010 Jefferson Davis Highway,
Ruther Glen, VA 22546
Ph: (804) 589-1491 |
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