HISHAM IZZADIN IBRAHIM


Address: 1210 E Plant St Ste 120, Winter Garden, FL 34787-2995
Phone: 4072978408

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
17166 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL LICENSE ME114722 01
NV 1619918760 05

Provider Secondary Practice Location

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

Other Providers HISHAM IBRAHIM

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

Office Location

Street Address 1210 E PLANT ST STE 120
City WINTER GARDEN
State FL
Zip Code 34787-2995

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WINTER GARDEN
Zip Code 34787

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Dataset Information

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.

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