Jihad Y Ibrahim, MD is a
Internal Medicine physician based in Licking, Missouri. Jihad Y Ibrahim is licensed to practice in Missouri (license number 103766) and his current practice location is 255 W Highway 32, Licking, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 674-4470.
NPI number for Jihad Y Ibrahim is 1043464431 and his current mailing address is Po Box 648, Salem, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043464431.
Physician's Profile
| Full Name | Jihad Y Ibrahim |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 255 W Highway 32, Licking, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043464431
- Provider Enumeration Date: 11/11/2008
- Last Update Date: 11/11/2008
Medical Identifiers
Medical identifiers for Jihad Y Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043464431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 103766 (Missouri) | Primary |
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. Jihad Y Ibrahim 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 |
|---|
Jihad Y Ibrahim, MD
Po Box 648,
Salem, MO 65560-0648
Ph: (573) 674-4470 | Jihad Y Ibrahim, MD
255 W Highway 32,
Licking, MO 65542-9076
Ph: (573) 674-4470 |
Reviews and Comments