Hisham Izzadin Ibrahim (NPI# 1619918760, PAC ID# 2062497217) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
Nation Provider ID (NPI) | 1619918760 |
PAC ID by PECOS | 2062497217 |
Professional Enrollment ID | I20130213000294 |
Full Name | Hisham Izzadin Ibrahim |
Organization Legal Name | WEST ORANGE NEPHROLOGY LLC |
Address |
1210 E Plant St Suite 120 Winter Garden FL 34787-2996 |
Phone Number | 4072978408 |
Gender | M |
Credential | MD |
Graduation Year | 1993 |
Primary Specialty | NEPHROLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 8325016397 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100113 | UF HEALTH SHANDS HOSPITAL |
Address | Phone | Organization |
---|---|---|
1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 | 4072978408 | WEST ORANGE NEPHROLOGY LLC |
Organization Legal Name | WEST ORANGE NEPHROLOGY LLC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patricia Audrey Chuck | Nurse Practitioner | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
Banji Awosika | Nephrology | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
Nihar Pinakin Jani | Nephrology | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
Muhammad A Malik | Nephrology | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
Daphney Zidor | Nurse Practitioner | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
Street Address |
1210 E PLANT ST SUITE 120 |
City | WINTER GARDEN |
State | FL |
Zip | 34787-2996 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patricia Audrey Chuck | Nurse Practitioner | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
Banji Awosika | Nephrology | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
Nihar Pinakin Jani | Nephrology | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
Muhammad A Malik | Nephrology | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
Daphney Zidor | Nurse Practitioner | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen Esther Jones | Nurse Practitioner | Cappleman Edwards and Castello Md Pa | 436 N Dillard St, Winter Garden, FL 34787-2817 |
Jo J Reeves | Chiropractic | 424 N Dillard St, Winter Garden, FL 34787-2817 | |
John Mark Cappleman | Internal Medicine | Cappleman Edwards and Castello Md Pa | 436 N Dillard St, Winter Garden, FL 34787-2817 |
Eldar Baigabatov | Internal Medicine | 36 S Main St, Winter Garden, FL 34787-3125 | |
Catherine O Ionelli | Psychologist, Clinical | 314 E Plant St, Winter Garden, FL 34787-3133 | |
Lerin Michelle Weirich | Chiropractic | Garden Chiropractic and Wellness Center LLC | 314 E Plant St, Winter Garden, FL 34787-3133 |
Matthew R Roe | Chiropractic | 218 W Smith St, Winter Garden, FL 34787-3448 | |
Nayda M Nunez | Chiropractic | Integrated Chiropractic Healthcare, P.a | 310 S Dillard St, Suite 200, Winter Garden, FL 34787-3515 |
Jose R Cadavedo | Chiropractic | Integrated Chiropractic Healthcare, P.a | 310 S Dillard St, Suite 200, Winter Garden, FL 34787-3515 |
Elizabeth R Palmer | Clinical Social Worker | 213 S Dillard St, Winter Garden, FL 34787-3522 | |
Find all physicians in zip 34787 |
City | WINTER GARDEN |
Zip Code | 34787 |
Specialty | NEPHROLOGY |
City + Specialty | WINTER GARDEN + NEPHROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.