Organization Active NPI

Hossam Ibrahim MD PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Largo, FL
National Provider Identifier
1649443383
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME58202 Issued in FL
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

Updated by the provider on Apr 14, 2008

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.