| Ibrahim Im Salih Md Pc | |
|
7610 Pennsylvania Ave Suite 200 District Heights MD 20747 | |
| (301) 817-3001 | |
| (301) 817-3005 |
| Full Name | Ibrahim Im Salih Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7610 Pennsylvania Ave, District Heights, Maryland |
| Authorized Official Name and Position | Ibrahim I.m. Salih (OWNER) |
| Authorized Official Contact | 3018173001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibrahim Im Salih Md Pc Po Box 10369 Silver Spring MD 20914-0369 Ph: (301) 817-3001 | Ibrahim Im Salih Md Pc 7610 Pennsylvania Ave Suite 200 District Heights MD 20747 Ph: (301) 817-3001 |
| NPI Number | 1710291083 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 01/19/2023 |
| Medicare PECOS PAC ID | 6406044304 |
|---|---|
| Medicare Enrollment ID | O20101220000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710291083 | NPI | - | NPPES |
| 043341100 | Medicaid | MD | |
| 508449 | Other | MD | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0042461 (Maryland) | Primary |
| 261QP2300X | Clinic/center - Primary Care | D0042461 (Maryland) | Secondary |
| Provider Name | Ibrahim I.m. Salih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043374929 PECOS PAC ID: 8022206937 Enrollment ID: I20101220000381 |
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