Hisham Izzadin Ibrahim, MD | |
1210 E Plant St Ste 120, Winter Garden, FL 34787-2995 | |
(407) 297-8408 | |
(407) 297-8408 |
Full Name | Hisham Izzadin Ibrahim |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 31 Years |
Location | 1210 E Plant St Ste 120, Winter Garden, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619918760 | NPI | - | NPPES |
ME114722 | Other | FL | LICENSE |
1619918760 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 17166 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uf Health Shands Hospital | Gainesville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Entity Name | Florida Clinical Practice Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
---|---|
Hisham Izzadin Ibrahim, MD 3333 E Camelback Rd, Ste 180, Phoenix, AZ 85018-2396 Ph: (602) 759-6883 | Hisham Izzadin Ibrahim, MD 1210 E Plant St Ste 120, Winter Garden, FL 34787-2995 Ph: (407) 297-8408 |
Vishwas Vanar, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787 Phone: 407-303-1812 Fax: 407-303-1815 | |
Andrea Mccullum Mejia, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 15532 W Colonial Dr Ste A, Winter Garden, FL 34787 Phone: 407-554-9200 | |
Adriana Yates Munar, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 17000 Porter Rd, Winter Garden, FL 34787 Phone: 321-841-3467 | |
Dr. Danielle Nicole Renee Lee, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787 Phone: 407-889-1930 Fax: 407-889-1904 | |
Dr. Eldar Bolatovich Baigabatov, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 36 S Main St, Winter Garden, FL 34787 Phone: 407-347-9886 | |
Dr. Melba Iris Ovalle, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1002 S Dillard St, Suite 102, Winter Garden, FL 34787 Phone: 407-877-4075 Fax: 407-905-6940 | |
Joel Richard Garcia, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787 Phone: 407-889-1966 Fax: 407-889-1904 |