Active NPI
Hossam Ibrahim MD PLLC
- Endocrinology, Diabetes & Metabolism Physician
- Largo, FL
National Provider Identifier
1649443383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME58202
- Legal business name
- HOSSAM IBRAHIM MD PLLC
- Doing business as
- BAY AREA DIABETES&ENDOCRINOLOGY SPEICALISTS
- Practice address
- 8839 Bryan Dairy Rd
Suite110
Largo, FL 33777-1201 - Phone
- (727) 216-8025
- Fax
- (727) 230-0693
- NPI assigned
- Apr 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nagwa Malek
- Title
- Office Manger
- Phone
- (727) 218-8025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME58202 | FL | Primary |
Addresses
Primary practice location
8839 Bryan Dairy Rd
Suite110
Largo, FL 33777-1201
Mailing address
8839 Bryan Dairy Rd
Suite110
Largo, FL 33777-1201
Phone (727) 216-8025
Other names 1
- BAY AREA DIABETES&ENDOCRINOLOGY SPEICALISTS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208131200000",
"number": "1649443383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8839 BRYAN DAIRY RD",
"address_2": "SUITE110",
"city": "LARGO",
"state": "FL",
"postal_code": "337771201",
"telephone_number": "727-216-8025",
"fax_number": "727-230-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8839 BRYAN DAIRY RD",
"address_2": "SUITE110",
"city": "LARGO",
"state": "FL",
"postal_code": "337771201",
"telephone_number": "727-216-8025",
"fax_number": "727-230-0693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSSAM IBRAHIM MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-14",
"status": "A",
"authorized_official_last_name": "MALEK",
"authorized_official_first_name": "NAGWA",
"authorized_official_title_or_position": "OFFICE MANGER",
"authorized_official_telephone_number": "727-218-8025"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME58202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BAY AREA DIABETES&ENDOCRINOLOGY SPEICALISTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.