SANDY SAMEH AGUIB ZAKI IBRAHIM M.D NPI 1528901253

NPI Information

  • NPI: 1528901253
  • Provider Name: SANDY SAMEH AGUIB ZAKI IBRAHIM, M.D
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: MILE SQUARE LP JOHNSON CENTER
    1221 E STALE ST
    ROCKFORD, IL
    ZIP 61104
  • Phone: (815) 972-1037

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NPI Details

Sandy Sameh Aguib Zaki Ibrahim, M.D is a student in an organized health care education training program in Rockford, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Sandy Sameh Aguib Zaki Ibrahim, M.D NPI is 1528901253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

MILE SQUARE LP JOHNSON CENTER
1221 E STALE ST
ROCKFORD, IL
ZIP 61104
Phone: (815) 972-1037

The enumeration date for this NPI number is 4/9/2026 and was last updated on 4/9/2026.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/21/2025

NPI Synchronization or Removal

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