| Dr Ihab J Ibrahim, MD | |
|
672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 | |
| (318) 572-2067 | |
| (877) 991-8458 |
| Full Name | Dr Ihab J Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 672 Bert Kouns Industrial Loop, Shreveport, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043259880 | NPI | - | NPPES |
| 0188093 | Medicaid | NJ | |
| 146829 | Other | NJ | MEDICARE ID-TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | MA78363 (New Jersey) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | MD.14699R (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ihab J Ibrahim, MD 635 Summerville Dr, Shreveport, LA 71115-3865 Ph: (318) 572-2067 | Dr Ihab J Ibrahim, MD 672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 Ph: (318) 572-2067 |
Jai P Munjampalli, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105 Phone: 318-212-3636 Fax: 318-212-3649 |