SearchMissouri207RI0011X

Hussain Ibrahim, M.D

NPI 1841622008 · on the registry since 2013 · sole proprietor

Practice

Address
1100 N Kentucky Ave
West Plains, MO 65775
Phone
(417) 256-9111
Organisation at this address
Omc Breast Care
Ies Missouri Llc
Omc Fee For Service
Ies Hsp Missouri Llc
Ozarks Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
166

Additional practice sites

  • 510 College Ave Ne Apt 128, Grand Rapids, MI
  • 1611 Nw 12th Ave, Miami, FL

Registry record

Primary taxonomy
207RI0011X
207RI0011X
Also registered as
207R00000X
207RI0011X
Licence states on file
MI, FL, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-27

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 Missouri