Sherrine Adele Ibrahim
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
550 University Blvd # Uh2440
Indianapolis
, Indiana 46202-5149
Sherrine Adele Ibrahim
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
550 University Blvd # Uh2440
Indianapolis
, Indiana 46202-5149
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Sherrine Adele Ibrahim
- 250 N Shadeland Ave
- Indianapolis, IN
- Zip : 46219-4959
- Phone :
Second Address
- Sherrine Adele Ibrahim
- 550 University Blvd # Uh2440
- Indianapolis, IN
- Zip : 46202-5149
- Phone : (317) 944-8182
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Is Sherrine Adele Ibrahim a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 01072865A | IN |
| N | 207V00000X | Obstetrician & Gynecologist | 35.095530 | OH |
| N | 207V00000X | Obstetrician & Gynecologist | P21388 | MD |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 01072865A | IN |
National Provider Identifier
| NPI | 1124164025 |
|---|---|
| Provider Name | Sherrine Adele Ibrahim |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46202-5149 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 13/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201177680 | (05) | IN |
| P01678711 | MEDICARE RR (01) | IN |
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.