MR. IBRAHIM FAHSAH


Address: 210 E Gray St Ste 1002, Louisville, KY 40202-3906
Phone: 5025842029

MR. IBRAHIM FAHSAH (NPI# 1902846157) 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) 1902846157
Entity Type Individual
Full Name MR. IBRAHIM FAHSAH
Credential MD
Practice Address 210 E Gray St Ste 1002
Louisville
KY 40202-3906
Mailing Address Po Box 776351
Chicago
IL 60677-6351
Practice Telephone 5025842029
Practice Fax Number 5025840873
Mailing Telephone 5025889490
Mailing Fax Number 5022725116
Enumeration Date 2006-06-07
Last Update Date 2018-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 32990 KY Other Service Providers
N 207R00000X Internal Medicine 32990 KY Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
32990 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY RAILROAD MEDICARE- CTS P00924103 01
KY ANTHEM- CTS 108285 01
IN 200122110 05
KY PASSPORT ADVANTAGE 353176400 01
KY 64329907 05
KY AETNA- CTS 5151604 01
KY 200122110 05
KY HUMANA- CTS 000057094O 01
KY RAILROAD MEDICARE P00468647 01
KY PASSPORT 50019752 01
KY PASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE 50031678 01

Office Location

Street Address 210 E GRAY ST STE 1002
City LOUISVILLE
State KY
Zip Code 40202-3906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770133571 Catrina Rene Hancock Physician Assistant 210 E Gray St Ste 1002, Louisville, KY 40202-3906 2019-09-13
1629241146 Robert Sawyer Internal Medicine 210 E Gray St Ste 1002, Louisville, KY 40202-3906 2008-04-04
1538171517 Charles Bartholomew Dawson Internal Medicine 210 E Gray St Ste 1002, Louisville, KY 40202-3906 2006-08-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
Find all providers in zip 40202

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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
1881182657 Have A Heart Foundation Inc Internal Medicine 310 E Broadway Ste 100, Louisville, KY 40202-1745 2018-04-27
1104356567 Mmr Cardiovascular Consulting LLC Internal Medicine 1101 Glenlake Way, Louisville, KY 40245 2017-06-18
1992246953 Northeast Cardiology Pllc Internal Medicine 1313 St.anthony Place, Louisville, KY 40204-0130 2017-03-10
1427410596 Lauren Albers Internal Medicine 550 South Jackson St, Louisville, KY 40202 2016-03-28
1396138202 Louisville Cardiovascular Care Pllc Internal Medicine 1411 Hadleigh Pl, Louisville, KY 40222-5652 2015-03-17
1629481270 Harleen Chahil Internal Medicine 201 Abraham Flexner Way Ste 600, Louisville, KY 40202-3841 2014-06-10
1831415579 Geko Inc Internal Medicine 1552 Ormsby Station Ct, Louisville, KY 40223-4019 2010-04-19
1215179908 Matthew Cody Lee Keith Internal Medicine 9070 Dixie Hwy Ste 6, Louisville, KY 40258-1007 2009-03-27
1578691622 John Loughran Jr. Internal Medicine 3900 Kresge Way Ste 60, Louisville, KY 40207-4690 2007-03-01
1316024722 Cardiology of Kentucky Internal Medicine 4003 Kresge Way Ste 221, Louisville, KY 40207-4652 2006-11-01
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40202

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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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