Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IHAB J. IBRAHIM, M.D.
Active Sole ProprietorDR. IHAB J. IBRAHIM, M.D. is a Interventional Vascular Surgery healthcare provider located in SAINT LOUIS, Missouri. NPI 1043259880 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1043259880
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2006 (20.178479252107 yrs)
- Last Updated
- Nov 21, 2025
- Licenses
-
MD.14699R (LA)MA78363 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 JEFFERSON BARRACKS DRSAINT LOUIS, MO, 631254181Browse MO providers · Browse ZIP 63125
- Phone
- 3146524100
- Fax
- 3148455077
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Vascular Surgery
Other Interventional Vascular Surgery Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| RICHARD S. GAHN | MD | 1336135417 |
| DR. STEVEN J GRANBERG | MD | 1881673382 |
| DR. PHUNG T DANG | M.D. | 1174626840 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.