Ibrahimi Medical Inc | |
1081 Market Pl Ste 500 San Ramon CA 94583-4750 | |
(925) 365-7337 | |
(925) 522-4372 |
Full Name | Ibrahimi Medical Inc |
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Speciality | Internal Medicine |
Location | 1081 Market Pl Ste 500, San Ramon, California |
Authorized Official Name and Position | Ibrahimi Waheed (OWNER) |
Authorized Official Contact | 5105120533 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ibrahimi Medical Inc 4847 Hopyard Rd Ste 4-411 Pleasanton CA 94588-3360 Ph: (669) 235-4188 | Ibrahimi Medical Inc 1081 Market Pl Ste 500 San Ramon CA 94583-4750 Ph: (925) 365-7337 |
NPI Number | 1902325707 |
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Provider Enumeration Date | 09/12/2017 |
Last Update Date | 04/17/2023 |
Medicare PECOS PAC ID | 9537526660 |
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Medicare Enrollment ID | O20230606001324 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902325707 | NPI | - | NPPES |
A128575 | Other | CA | CA - LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A128575 (California) | Primary |
Provider Name | Waheed S Ibrahimi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174716583 PECOS PAC ID: 1254487010 Enrollment ID: I20151210002055 |
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