Mohamed Ibrahim
STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC


Address: 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Phone: 2095723224

Mohamed Ibrahim (NPI# 1821011578, PAC ID# 4981607652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.

Physician Overview

Nation Provider ID (NPI) 1821011578
PAC ID by PECOS 4981607652
Professional Enrollment ID I20060818000145
Full Name Mohamed Ibrahim
Organization Legal Name STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC
Address 609 E Orangeburg Ave
Suite 201
Modesto
CA 95350-5512
Phone Number 2095723224
Gender M
Credential MD
Graduation Year 2000
Primary Specialty HAND SURGERY
Group Practice PAC ID 0042373862
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050464 DOCTORS MEDICAL CENTER
050726 STANISLAUS SURGICAL HOSPITAL

Other Locations

Address Phone Organization
1524 Mchenry Ave, Suite 330, Modesto, CA 95350-4567 2095587085 COUNTY OF STANISLAUS
1524 Mchenry Ave, Suite 300, Modesto, CA 95350-4570 2095587036 COUNTY OF STANISLAUS
609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 2095723224 STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC

Organization Information

Organization Legal Name STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC
Physicians 13

Physicians with the same organization

Name Specialty Organization Address
Marc A. Trzeciak Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Jonathan Pettegrew Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Anne M Fultz Occupational Therapy Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Jonathan Cohen Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Joel Louis Frazier Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Kyle Ross Mcclintock Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Michael Wolterbeek Podiatry Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
William L Pistel Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Ehsan Tabaraee Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
John J Casey Jr. Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512

Office Location

Street Address 609 E ORANGEBURG AVE
SUITE 201
City MODESTO
State CA
Zip 95350-5512

Physicians in the same location

Name Specialty Organization Address
Marc A. Trzeciak Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Jonathan Pettegrew Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Anne M Fultz Occupational Therapy Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Jonathan Cohen Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Joel Louis Frazier Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Kyle Ross Mcclintock Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Philip Dinh Truong Certified Registered Nurse Anesthetist (crna) 609 E Orangeburg Ave, Bldg B, Modesto, CA 95350-5512
Michael Wolterbeek Podiatry Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
William L Pistel Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
Ehsan Tabaraee Orthopedic Surgery Stanislaus Orthopaedic and Sports Medicine Clinic 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512
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Physicians in the same zip code

Name Specialty Organization Address
Ladan P Hashemi Nurse Practitioner Galen Medical Group, Inc. 2633 W Rumble Rd, Modesto, CA 95350-0154
Ashley Marruffo Nurse Practitioner Galen Medical Group, Inc. 2633 W Rumble Rd, Modesto, CA 95350-0154
Jessica F Hoffman Nurse Practitioner Galen Medical Group, Inc. 2633 W Rumble Rd, Modesto, CA 95350-0154
Lynne M Butner Chiropractic 1500 Standiford Ave B, Modesto, CA 95350-0592
Ronald J Mostowski Chiropractic 1500 Standiford Ave B, Modesto, CA 95350-0592
David A Heersink Chiropractic 1367 Standiford Ave, Modesto, CA 95350-0700
Mariza M Del Rosario-garcia Psychiatry Permanente Medical Group Inc 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726
Rean Hong Clinical Psychologist Permanente Medical Group Inc 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726
Michael Taylor Chiropractic 1421 Standiford Ave, B, Modesto, CA 95350-0730
Jeanne Abbott Clinical Social Worker 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849
Find all physicians in zip 95350

Competitor

Search similar physicians

City MODESTO
Zip Code 95350
Specialty HAND SURGERY
City + Specialty MODESTO + HAND SURGERY

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Dataset Information

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.

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