Individual provider · NPI-1

Ibrahim Abaherah, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number1942004189
StatusActive
Last updated in NPPESJun 23, 2026

Details

NPI
1942004189
Entity type
Individual (NPI-1)
Name
Ibrahim Abaherah
Credential
DO
Sole proprietor
No
Enumeration date
Apr 4, 2025
Certification date
Jun 23, 2026
Last updated
Jun 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramOT025237PAYes

Practice location

10800 Knights Rd
Philadelphia, PA 19114-4200

Phone 215-612-5161

Mailing address

10800 Knights Rd
Philadelphia, PA 19114-4200

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Philadelphia, PA