Dr. Ahmed Gamil Ibraheem
Periodontist
1601 N Tucson Blvd Ste 12c
Tucson
, Arizona 85716-3405
Dr. Ahmed Gamil Ibraheem
Periodontist
1601 N Tucson Blvd Ste 12c
Tucson
, Arizona 85716-3405
(718) 200-1428
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Ahmed Gamil Ibraheem
- 16450 W Van Buren St Apt 2029
- Goodyear, AZ
- Zip : 85338-1610
- Phone : (718) 200-1428
Second Address
- Dr. Ahmed Gamil Ibraheem
- 1601 N Tucson Blvd Ste 12c
- Tucson, AZ
- Zip : 85716-3405
- Phone : (520) 200-5062
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | D010935 | AZ |
National Provider Identifier
| NPI | 1013540871 |
|---|---|
| Provider Name | Dr. Ahmed Gamil Ibraheem |
| First Address | Goodyear, AZ 85338-1610 |
| Second Address | Tucson, AZ 85716-3405 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2020 |
| Last Update Date | 21/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.