Ihab Ibrahim, MD | |
1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274-4126 | |
(360) 416-5750 | |
(360) 416-5758 |
Full Name | Ihab Ibrahim |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1415 E Kincaid St, Mount Vernon, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417062712 | NPI | - | NPPES |
1417062712 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD-7946 (Hawaii) | Secondary |
207R00000X | Internal Medicine | TD60482949 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Ihab Ibrahim, MD 1400 E Kincaid St, Attn: Credentialing, Mount Vernon, WA 98274-4127 Ph: (360) 428-2500 | Ihab Ibrahim, MD 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274-4126 Ph: (360) 416-5750 |
Connie L. Davis, Internal Medicine Medicare: Medicare Enrolled Practice Location: 208 Hospital Parkway, Mount Vernon, WA 98274 Phone: 360-428-8260 Fax: 360-428-8576 | |
Ramy Lewez Hanna, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274 Phone: 360-336-9757 Fax: 360-814-5237 | |
Dr. Samuel M. Donohoe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758 | |
Joshua David Larson, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-2115 | |
Sankar S Alagugurusamy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-6113 Fax: 360-814-6110 | |
Dr. Junfeng Wang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 S 13th St Ste 100, Mount Vernon, WA 98274 Phone: 360-814-2146 Fax: 360-814-2445 | |
David F. Hoeft, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758 |