Ibrahim Fattah, MD is a
Student In An Organized Health Care Education/training Program physician based in Sacramento, California. Ibrahim Fattah is licensed to practice in * (Not Available) (license number ) and his current practice location is 2315 Stockton Blvd, Sacramento, California. He can be reached at his office (for appointments etc.) via phone at
(916) 734-2011.
NPI number for Ibrahim Fattah is 1679278204 and his current mailing address is 2315 Stockton Blvd, Sacramento, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679278204.
Physician's Profile
| Full Name | Ibrahim Fattah |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2315 Stockton Blvd, Sacramento, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679278204
- Provider Enumeration Date: 04/03/2023
- Last Update Date: 10/06/2025
Medical Identifiers
Medical identifiers for Ibrahim Fattah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679278204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | A203065 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ibrahim Fattah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ibrahim Fattah, MD 2315 Stockton Blvd, Sacramento, CA 95817-2201 Ph: () - | Ibrahim Fattah, MD 2315 Stockton Blvd, Sacramento, CA 95817-2201 Ph: (916) 734-2011 |
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