Chadi Ibrahim, MD | |
275 E 200 S, Salt Lake City, UT 84111 | |
(202) 779-5214 | |
Not Available |
Full Name | Chadi Ibrahim |
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Gender | Male |
Speciality | General Practice |
Location | 275 E 200 S, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316322043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 63989 (Wisconsin) | Primary |
Entity Name | Kayenta Alternative Rural Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
Mailing Address | Practice Location Address |
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Chadi Ibrahim, MD 275 E 200 S, Salt Lake City, UT 84111-2002 Ph: () - | Chadi Ibrahim, MD 275 E 200 S, Salt Lake City, UT 84111 Ph: (202) 779-5214 |
Dr. R. Heather Macalma, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 250 E 200 S Rm 1202, Salt Lake City, UT 84111 Phone: 801-581-2121 | |
Dr. Linda Miller, General Practice Medicare: May Accept Medicare Assignments Practice Location: 675 E 2100 S, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197 | |
Crystal Rose Lenz, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: Eccless Institute Of Human Genetics: 15 N Medical Dr Rm, Space Base Delta 1, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Wallace Harold Ring, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3125 Kennedy Dr., 1003, Salt Lake City, UT 84108 Phone: 801-581-0146 | |
Michael U. Hoerner, MD General Practice Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Rm 2s100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Chad Chenoweth, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1512 E 3115 S, Salt Lake City, UT 84106 Phone: 801-205-4112 | |
Dr. Andrea N. Keithler, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132 Phone: 801-581-2121 |