Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAZEN MOHAMED IBRAHIM IBRAHIM, MD PHD
ActiveSports Medicine (Orthopaedic) · VAIL, CO
Registration Details
- NPI Number
- 1407685621
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2024 (1.73548226462 yrs)
- Last Updated
- Aug 6, 2025
- Licenses
-
DR.0074162 (CO)DR.0074162 (CO)DR.0074162 (CO)
Practice Information
- Address
-
181 W MEADOW DRVAIL, CO, 816575242Browse CO providers · Browse ZIP 81657
- Phone
- 9704797203
- Fax
- 9704797282
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Pediatric Orthopaedic Surgery
- Additional Specialty
- Sports Medicine (Orthopaedic)
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.