Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MAMDOUH EZZAT IBRAHIM
Active Sole ProprietorMR. MAMDOUH EZZAT IBRAHIM is a Van Provider healthcare provider located in FAIRPORT, New York. NPI 1841959285 is currently active in the NPPES registry. Verify at CMS.
Van Provider · FAIRPORT, NY
Registration Details
- NPI Number
- 1841959285
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2021 (4.6944695557187 yrs)
- Last Updated
- Dec 13, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 MOSELEY RDFAIRPORT, NY, 144503060Browse NY providers · Browse ZIP 14450
- Phone
- 3157447674
- Primary Specialty
-
Van Provider
344600000X
- Additional Specialty
- Van Provider
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.