EMAD IBRAHIM MD INC. NPI 1114371481

NPI Information

NPI: 1114371481
Provider Name: EMAD IBRAHIM, MD, INC.
Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

Address:
245 TERRACINA BLVD STE 206
REDLANDS, CA
ZIP 92373
Phone: (909) 793-4336
Get Directions

EMAD IBRAHIM, MD, INC. is an oncology clinic center in Redlands, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. EMAD IBRAHIM, MD, INC. NPI is 1114371481. The provider is registered as an organization entity type.

The provider's business location address is:

245 TERRACINA BLVD STE 206
REDLANDS, CA
ZIP 92373-867
Phone: (909) 793-4336
Fax: (909) 793-3325

The provider's authorized official is Emad Ibrahim .
The authorized official title is Owner and has the following contact phone number (909) 557-3983.

The enumeration date for this NPI number is 4/22/2016 and was last updated on 7/15/2022.

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	261QX0200X	Clinic/Center	Oncology	A51062	CALIFORNIA	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	Other Provider Identifier Issuer
1	00A510620	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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