FAHMY IBRAHIM (NPI# 1255424404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255424404 |
| Entity Type | Individual |
| Full Name | FAHMY IBRAHIM |
| Other Name | FAHMY IBRAHIM |
| Credential | M.D. |
| Practice Address |
1501 Claus Rd Modesto CA 95355-9711 |
| Mailing Address |
Po Box 576649 Modesto CA 95357-6649 |
| Practice Telephone | 2095584700 |
| Mailing Telephone | 2095718330 |
| Mailing Fax Number | 2094917184 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A89455 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
233005 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02618720 | 05 |
| Street Address |
1501 CLAUS RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-9711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374104 | Melchor Mercado | Psychologist | 1501 Claus Rd, Modesto, CA 95355 | 2005-08-31 |
| 1124654348 | Jaaneali Mehdi Md Inc | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2020-03-19 |
| 1932666112 | William J Greene Md Inc A Professional Medical Corporation | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2019-02-25 |
| 1932610847 | Modesto Mental Health Consultants Inc A Professional Medical Corp | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355 | 2017-10-18 |
| 1629595616 | Rupinder Randhawa Md Inc | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2017-08-29 |
| 1912347873 | Kristin Parks Lee | Internal Medicine | 1501 Claus Rd, Modesto, CA 95355-9711 | 2013-06-25 |
| 1396189791 | William James Greene | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2013-04-29 |
| 1407128275 | Rupinder Randhawa | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2012-02-08 |
| 1487965950 | Nusrat N Malik Md Inc | Psychiatry & Neurology | 1501 Claus Rd, Modesto, CA 95355-9711 | 2010-06-29 |
| 1467617183 | Sonia Maria Alves | Social Worker | 1501 Claus Rd, Modesto, CA 95355-9711 | 2008-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588079255 | Aditi Giri | Psychiatry & Neurology | 1510 Florida Ave Ste B, Modesto, CA 95350-4437 | 2014-06-21 |
| 1356453864 | Ricardo Orlando Gonzales | Psychiatry & Neurology | 1127 13th St, Modesto, CA 95354-0907 | 2006-08-31 |
| 1811291503 | Fahmy Ibrahim Md Inc | Psychiatry & Neurology | 1501 Claus Road, Modesto, CA 95355 | 2011-01-10 |
| 1548332380 | Alisha O. Dunn | Psychiatry & Neurology | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-15 |
| 1952402141 | Banu Brar | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2006-09-26 |
| 1609987510 | Stewart Quisling | Psychiatry & Neurology | 3340 Tully Rd, D-2, Modesto, CA 95350-0838 | 2006-08-31 |
| 1750348025 | Gagandeep Singh Popli | Psychiatry & Neurology | 2020 Coffee Rd, Suite C5, Modesto, CA 95355-2427 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506308 | Nisha Warikoo Md Inc | Psychiatry & Neurology | 19200 Von Karman Ave, Ste 623, Irvine, CA 92612-8553 | 2020-04-13 |
| 1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
| 1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.