Dr. Tony M Ibrahim, MD
Transplant Surgery in Miami, FL. Individual provider (NPI-1).
NPI number1306338355
StatusActive
Last updated in NPPESDec 12, 2022
Details
- NPI
- 1306338355
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tony M Ibrahim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2018
- Certification date
- Dec 12, 2022
- Last updated
- Dec 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204F00000X | Transplant Surgery | ME148212 | FL | Yes |
| 207P00000X | Emergency Medicine | ME148212 | FL | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | ME148212 | FL |
Practice location
1611 Nw 12th AveMiami, FL 33136-1005
Phone 305-355-1035
Mailing address
1801 Nw 9th Ave Ste 700Miami, FL 33136-1100
Phone 305-355-1035
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