HASSAN MOHWAD IBRAHIM M.D. NPI 1093735961

NPI Information

NPI: 1093735961
Provider Name: HASSAN MOHWAD IBRAHIM, M.D.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
1501 KINGS HWY
DEPARTMENT OF PEDIATRICS, SECTION OF NEONATOLOGY
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-7255
Get Directions

Hassan Mohwad Ibrahim, M.D. is a neonatal-perinatal medicine pediatrics in Shreveport, LA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Hassan Mohwad Ibrahim, M.D. NPI is 1093735961. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 KINGS HWY
DEPARTMENT OF PEDIATRICS, SECTION OF NEONATOLOGY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-7255
Fax: (318) 675-4660

The NPI 1093735961 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	11168R	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F22000	MEDICARE UPIN	LOUISIANA
2	1688923	MEDICAID	LOUISIANA
3	5W394F600	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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