Ibrahim Imam DO Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

IBRAHIM IMAM DO INC

Practice address

2103 Jenks Ave
Panama City, FL 32405-4511

Phone

(256) 617-0815

Fax

(850) 785-0558

NPI assigned

Jun 11, 2026

Last updated

Aug 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abrahim Imam, DONPI 1427637644

Title

Owner

Phone

(256) 617-0815

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Abrahim Imam D.O.

  • Family Medicine Physician
  • Panama City, FL
  • NPI 1366392573
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abrahim Imam

  • Family Medicine Physician
  • Tupelo, MS
  • NPI 1427637644
  NPD Authorized official

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1841124070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "256-617-0815",
            "fax_number": "850-785-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "256-617-0815",
            "fax_number": "850-785-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM IMAM DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "ABRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-617-0815",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Suzanne Hysong, M.D.
• Cory Ann Imhof, D.C.
• Richard Allen Imhoff, RPT
• Indigo Earth Spa
• Stefany L Ingram
• Violet Jade Ingram

• Adult Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.