HISHAM IZZADIN IBRAHIM (NPI# 1619918760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619918760 |
Entity Type | Individual |
Full Name | HISHAM IZZADIN IBRAHIM |
Credential | M.D |
Practice Address |
1210 E Plant St Ste 120 Winter Garden FL 34787-2995 |
Mailing Address |
3333 E Camelback Rd Ste 180 Phoenix AZ 85018-2396 |
Practice Telephone | 4072978408 |
Practice Fax Number | 4072978408 |
Mailing Telephone | 6027596883 |
Mailing Fax Number | 6022243315 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2020-03-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
17166 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | LICENSE | ME114722 | 01 |
NV | 1619918760 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2545 S Bruce St Ste 200, Las Vegas, NV 891691778 | 7027322438 | 7027337876 |
1600 Sw Archer Rd, Department of Of Nephrology, Gainesville, FL 326100224 | 3522738821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578935268 | Hisham Abdellah Osman Ibrahim | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242 | 2015-10-21 |
1043322126 | Hisham Mohsen Ibrahim | Psychiatry & Neurology | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2006-08-31 |
Street Address |
1210 E PLANT ST STE 120 |
City | WINTER GARDEN |
State | FL |
Zip Code | 34787-2995 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578534749 | West Orange Nephrology LLC | Specialist | 1210 E Plant St Ste 120, Winter Garden, FL 34787-2995 | 2006-01-27 |
1558917237 | Claire Palmer Brown | Health Educator | 1210 E Plant St Ste 120, Winter Garden, FL 34787-2995 | 2019-08-17 |
1164942710 | Patricia Audrey Miller | Internal Medicine | 1210 E Plant St Ste 120, Winter Garden, FL 34787-2995 | 2017-06-25 |
1629418603 | Nihar Pinakin Jani | Internal Medicine | 1210 E Plant St Ste 120, Winter Garden, FL 34787-2995 | 2013-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
Find all providers in zip 34787 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164942710 | Patricia Audrey Miller | Internal Medicine | 1210 E Plant St Ste 120, Winter Garden, FL 34787-2995 | 2017-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740896281 | Meraki Medical Center LLC | Internal Medicine | 12565 Orange Dr Ste 401, Davie, FL 33330-4305 | 2020-09-21 |
1972117109 | Mogilishetty Pllc | Internal Medicine | 10012 Gulf Center Dr Ste 5292, Fort Myers, FL 33913-8904 | 2020-09-04 |
1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
1245853746 | Ronald M. Goldin, M.d.,p.a. | Internal Medicine | 4215 Burns Rd Ste 240, Palm Beach Gardens, FL 33410-4625 | 2020-05-19 |
1447879739 | F Duncan Scott Md Pa | Internal Medicine | 4516 E Highway 20 # 108, Niceville, FL 32578-9755 | 2020-04-16 |
1245879055 | Atza Swicht Transportation Corp | Internal Medicine | 1309 Santa Rosa Dr Apt 202, Kissimmee, FL 34741-7572 | 2019-12-26 |
1427699859 | Nephro Care Solutions, LLC | Internal Medicine | 1401 Sw 107th Ave Ste 301m, Miami, FL 33174-2553 | 2019-10-07 |
1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
1427617265 | Sunstate Kidney & Hypertension LLC | Internal Medicine | 9907 Warm Stone St, Thonotosassa, FL 33592-3350 | 2019-06-06 |
1205490091 | Central Florida Nephrology Pllc | Internal Medicine | 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 | 2019-04-26 |
Find all providers with the same taxonomy |
City | WINTER GARDEN |
Zip Code | 34787 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.