Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KAISSAR S IBRAHIM, MD
Active Sole ProprietorAmbulatory Surgical Center · ATLANTIC BEACH, NC
Registration Details
- NPI Number
- 1528305026
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2013 (13.296222360224 yrs)
- Last Updated
- Jan 3, 2013
- License
-
14686 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1435 SALTER PATH RD UNIT F5ATLANTIC BEACH, NC, 285125903Browse NC providers · Browse ZIP 28512
- Phone
- 2526224910
- Fax
- 4342936914
- Primary Specialty
-
Ambulatory Surgical Center
261QA1903X
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.