Dr Ibrahim Heiba, MD, MPH is a
Preventive Medicine - Occupational Medicine physician based in Kingsport, Tennessee. Dr Ibrahim Heiba is licensed to practice in Tennessee (license number 36260) and his current practice location is 200 S Wilcox Dr, Bldg 215, Kingsport, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 229-5448.
NPI number for Dr Ibrahim Heiba is 1356520845 and his current mailing address is 200 S Wilcox Dr, Bldg 215, Po Box 1975 Medical Dept, Kingsport, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356520845.
Physician's Profile
| Full Name | Dr Ibrahim Heiba |
|---|
| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 200 S Wilcox Dr, Kingsport, Tennessee |
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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: 1356520845
- Provider Enumeration Date: 10/31/2007
- Last Update Date: 10/31/2007
Medical Identifiers
Medical identifiers for Dr Ibrahim Heiba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356520845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 36260 (Tennessee) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 27823 (South Carolina) | Secondary |
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. Dr Ibrahim Heiba 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 |
|---|
Dr Ibrahim Heiba, MD, MPH
200 S Wilcox Dr, Bldg 215, Po Box 1975 Medical Dept,
Kingsport, TN 37662
Ph: (423) 229-5448 | Dr Ibrahim Heiba, MD, MPH
200 S Wilcox Dr, Bldg 215,
Kingsport, TN 37662
Ph: (423) 229-5448 |
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