Dr Ihab J Ibrahim, MD | |
672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 | |
(318) 572-2067 | |
(877) 991-8458 |
Full Name | Dr Ihab J Ibrahim |
---|---|
Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 672 Bert Kouns Industrial Loop, Shreveport, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043259880 | NPI | - | NPPES |
0188093 | Medicaid | NJ | |
146829 | Other | NJ | MEDICARE ID-TYPE UNSPECIFIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | MA78363 (New Jersey) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | MD.14699R (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Ihab J Ibrahim, MD 635 Summerville Dr, Shreveport, LA 71115-3865 Ph: (318) 572-2067 | Dr Ihab J Ibrahim, MD 672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 Ph: (318) 572-2067 |
Jai P Munjampalli, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105 Phone: 318-212-3636 Fax: 318-212-3649 |