| Monsuru Ibraheem Md Inc A Professional Corporation | |
|
1050 W Galleria Dr Henderson NV 89011-4800 | |
| (702) 963-7000 | |
| Not Available |
| Full Name | Monsuru Ibraheem Md Inc A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1050 W Galleria Dr, Henderson, Nevada |
| Authorized Official Name and Position | Monsuru Ibraheem (PRESIDENT) |
| Authorized Official Contact | 6462096746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monsuru Ibraheem Md Inc A Professional Corporation Po Box 98607 Dept 2022 Las Vegas NV 89193-8607 Ph: (646) 209-6746 | Monsuru Ibraheem Md Inc A Professional Corporation 1050 W Galleria Dr Henderson NV 89011-4800 Ph: (702) 963-7000 |
| NPI Number | 1427275874 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/21/2019 |
| Medicare PECOS PAC ID | 8820196421 |
|---|---|
| Medicare Enrollment ID | O20070605000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427275874 | NPI | - | NPPES |
| 100510175 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11842 (Nevada) | Primary |
| Provider Name | Monsuru O Ibraheem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215906458 PECOS PAC ID: 9133189913 Enrollment ID: I20070507000417 |
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