SearchIndiana207R00000X

Ibraheam Mohammed

NPI 1346814761 · on the registry since 2021 · sole proprietor

Practice

Address
7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone
(260) 478-4206
Fax
(260) 478-3628
Organisation at this address
Mgfw Surgery Center, Llc
Lutheran Medical Group Llc
Medical Group Of Fort Wayne, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
75

Additional practice sites

  • Gme Office, Detroit, MI

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana