Mariam Kerolos Ibraheem, MD
Student in an Organized Health Care Education/Training Program in Memphis, TN. Individual provider (NPI-1).
NPI number1386586907
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1386586907
- Entity type
- Individual (NPI-1)
- Name
- Mariam Kerolos Ibraheem
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2026
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
920 Madison AvenueSuite 447
Memphis, TN 38163-3438
Phone 615-396-6454
Mailing address
1020 N Highland Ave Ste CMurfreesboro, TN 37130-2494
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