| Malik Ibrahim, MD | |
|
651 Dunlop Ln, Clarksville, TN 37040-5015 | |
| (913) 502-1000 | |
| (903) 502-2370 |
| Full Name | Malik Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 42 Years |
| Location | 651 Dunlop Ln, Clarksville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588617187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 43803 (Kentucky) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 40529 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Healthcare-clarksville | Clarksville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarksville Physician Services Gp | 0547276917 | 25 |
| Entity Name | Parkwest Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423 |
| Entity Name | Fort Sanders Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942294814 PECOS PAC ID: 9537066428 Enrollment ID: O20040429000650 |
| Entity Name | Clarksville Physician Services Gp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083657829 PECOS PAC ID: 0547276917 Enrollment ID: O20060223000133 |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Malik Ibrahim, MD 651 Dunlop Ln, Clarksville, TN 37040-5015 Ph: (913) 502-1000 | Malik Ibrahim, MD 651 Dunlop Ln, Clarksville, TN 37040-5015 Ph: (913) 502-1000 |
Kathryn E Jalovec, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 511 8th Street, Clarksville, TN 37040 Phone: 931-920-7200 | |
Dr. James Joseph Staudenmeier, M.D., MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 243 Dover Rd, Clarksville, TN 37042 Phone: 931-905-4646 Fax: 833-278-1934 | |
Soureya Abbo, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1027 Cindy Jo Ct, Clarksville, TN 37040 Phone: 510-932-9319 | |
Dr. Paschal Nnamdi Emelue, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 782 Weatherly Dr, Clarksville, TN 37043 Phone: 931-645-3552 | |
Elizabeth E Pritchett, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 800 Tiny Town Rd, Clarksville, TN 37042 Phone: 931-431-7580 Fax: 931-431-7583 | |
Maqbool Ahmed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 298 Clear Sky Ct, Suite F, Clarksville, TN 37043 Phone: 931-245-0620 Fax: 931-245-0624 |