DR. WALEED ABDUL IBRAHIM (NPI# 1407052244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407052244 |
| Entity Type | Individual |
| Full Name | DR. WALEED ABDUL IBRAHIM |
| Credential | M.D. |
| Practice Address |
1541 Florida Ave Suite 200 Modesto CA 95350 |
| Practice Telephone | 2095773388 |
| Practice Fax Number | 2095230764 |
| Mailing Telephone | 2095773388 |
| Mailing Fax Number | 2095230764 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A77739 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1154673713 | Waleed Ibrahim | Radiology | 4723 Commons Dr, Apt 304, Annandale, VA 22003-5066 | 2012-10-08 |
| Street Address |
1541 FLORIDA AVE SUITE 200 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980105 | Uzay Yasar | Urology | 1541 Florida Ave, Suite 100, Modesto, CA 95350-4423 | 2005-08-23 |
| 1457772584 | First Choice Physician Partners | Clinic/Center | 1541 Florida Ave, #101, Modesto, CA 95350-4429 | 2013-12-16 |
| 1326385659 | Deval Bhatt | Internal Medicine | 1541 Florida Ave, Ste 200, Modesto, CA 95350-4429 | 2013-01-07 |
| 1679831291 | First Choice Physician Partners | Family Medicine | 1541 Florida Ave, Ste 100, B, Modesto, CA 95350-4429 | 2012-05-02 |
| 1235497850 | First Choice Physician Partners | General Practice | 1541 Florida Ave, Ste 200, Modesto, CA 95350-4429 | 2012-05-02 |
| 1215294160 | First Choice Physician Partners | Urology | 1541 Florida Ave, Ste 100, Modesto, CA 95350-4429 | 2012-04-17 |
| 1588921431 | First Choice Physician Partners | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1541 Florida Ave, Ste 103, Modesto, CA 95350-4429 | 2012-04-17 |
| 1477810323 | First Choice Physician Partners | Otolaryngology | 1541 Florida Ave, Ste 304, Modesto, CA 95350-4429 | 2012-04-17 |
| 1659645810 | Sokea P Kiep | Registered Nurse | 1541 Florida Ave, Suite 306, Modesto, CA 95350-4429 | 2012-03-05 |
| 1447539374 | Northern California Cancer Center | Internal Medicine | 1541 Florida Ave, Suite 306, Modesto, CA 95350-4429 | 2011-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393863 | Richard A. Cercle M.d. | Internal Medicine | 1429 College Ave Ste B, Modesto, CA 95350-4046 | 2007-02-15 |
| 1538153713 | Pardeep S Brar | Internal Medicine | 803 Coffee Rd, Suite 5, Modesto, CA 95355-4227 | 2005-09-02 |
| 1801226873 | Muhammad A Shafqet | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355 | 2013-11-12 |
| 1992067631 | Pardeep Brar M.d., Inc. | Internal Medicine | 803 Coffee Rd, Suite #5, Modesto, CA 95355-4227 | 2012-06-08 |
| 1104105030 | Tanya Hoa Dam | Internal Medicine | 1541 Florida Ave, Suite 200, Modesto, CA 95350-4429 | 2011-08-09 |
| 1871813097 | Victorio Parayno Pidlaoan | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2010-06-10 |
| 1568646826 | Advanced Sleep Disorder Center, Inc. | Internal Medicine | 4206 Technology Dr Ste 2, Modesto, CA 95356-9484 | 2007-12-21 |
| 1881748846 | Modesto Gastroenterology Medical Corporation | Internal Medicine | 2336 Sylvan Ave, Suite A, Modesto, CA 95355-9211 | 2007-01-23 |
| 1528149051 | Richard A Cercle | Internal Medicine | 1429 College Ave Ste B, Modesto, CA 95350-4046 | 2006-10-18 |
| 1952311367 | Alfred Charles Gaymon | Internal Medicine | 4601 Dale Road, Modesto, CA 95356 | 2006-08-08 |
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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.