Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101271299 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 263155 | MA |
NPI | 1972765543 |
---|---|
Provider Name | Dr. Nasrien Ezzeldin Ibrahim |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 19/03/2021 |