Hossam Ibrahim, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME0058202 Issued in FL

Practice address

6229 66TH St N
Pinellas Park, FL 33781-5025

Phone

(727) 623-9913

Fax

(727) 803-6852

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1639168990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6229 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-623-9913",
            "fax_number": "727-803-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6229 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-623-9913",
            "fax_number": "727-803-6852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2763 1st Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337138723",
            "country_code": "US",
            "telephone_number": "727-623-9913",
            "fax_number": "727-803-6852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "HOSSAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME0058202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric James Hutton, PHARMD
• Mongtrinh Thi Huynh, PHARM. D
• Charles Ching-Ren Hwang, DDS
• I V S Nath MD FRCP PA
• Aleksandr Iakovlev
• Magy Ibrahim
• Tirso C Ignacio, D.M.D.
• Ivana Ignjatic, APRN
• Ih Health Care Investments LLC
• Imagine Orthodontic Studio

• Endocrinology, Diabetes & Metabolism Physician in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.