Ahmed A Ibrahim (NPI# 1407188626, PAC ID# 4082848148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1407188626 |
| PAC ID by PECOS | 4082848148 |
| Professional Enrollment ID | I20131004000233 |
| Full Name | Ahmed A Ibrahim |
| Organization Legal Name | TRI-STATE PSYCHIATRY AND ADDICTION MEDICINE, PLLC |
| Address |
7011 Shallowford Rd Chattanooga TN 37421-6727 |
| Phone Number | 4232088099 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 6406140383 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440156 | PARKRIDGE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 4236982423 | CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC |
| 7011 Shallowford Rd, Chattanooga, TN 37421-6727 | 4232088099 | TRI-STATE PSYCHIATRY AND ADDICTION MEDICINE, PLLC |
| Organization Legal Name | TRI-STATE PSYCHIATRY AND ADDICTION MEDICINE, PLLC |
| Physicians | 1 |
| Street Address |
7011 SHALLOWFORD RD |
| City | CHATTANOOGA |
| State | TN |
| Zip | 37421-6727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janelle S Edmondson | Nurse Practitioner | 7011 Shallowford Rd, Suite 104, Chattanooga, TN 37421-6727 | |
| John A Gracy | Orthopedic Surgery | 7011 Shallowford Rd, Suite 106, Chattanooga, TN 37421-6727 | |
| Abimbola Adewale | Internal Medicine | 7011 Shallowford Rd, Suite 101, Chattanooga, TN 37421-6727 | |
| Tamara S Martin | Podiatry | 7011 Shallowford Rd, Suite 103, Chattanooga, TN 37421-6727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela H Johnson | Clinical Social Worker | 6778 Executive Oak Lane, Suite 100 A, Chattanooga, TN 37421 | |
| Denis L Mcdonald | Optometry | C/o Eye Class World, 2004 Gunbarrel Rd, Chattanooga, TN 37421 | |
| Timothy Jordan | Physical Therapy | Mcm Rehabilitation LLC | 1515 Gunbarrel Rd, Suite 129, Chattanooga, TN 37421-0001 |
| Emily R Dearing | Physical Therapy | Mcm Rehabilitation LLC | 1515 Gunbarrel Rd, Suite 129, Chattanooga, TN 37421-0001 |
| Brett L Wheatcroft | Chiropractic | 6245 Vance Rd, Suite B, Chattanooga, TN 37421-0308 | |
| Marshall R Willis | Diagnostic Radiology | Womens Health Services Chattanooga PC | 6229 Vance Rd, Suite 119, Chattanooga, TN 37421-0311 |
| Frank H Knight | Diagnostic Radiology | Womens Health Services Chattanooga PC | 6229 Vance Rd, Suite 119, Chattanooga, TN 37421-0311 |
| Sibaji S Shome | Pulmonary Disease | 7425 Ziegler Rd, Suite 125, Chattannoga, TN 37421-0800 | |
| Kevin R Ferguson | Psychiatry | 7155 Lee Hwy, Suite 300, Chattanooga, TN 37421-0802 | |
| George G Leigh | Psychologist, Clinical | 7155 Lee Hwy, Suite 300, Chattanooga, TN 37421-0802 | |
| Find all physicians in zip 37421 | |||
| City | CHATTANOOGA |
| Zip Code | 37421 |
| Specialty | PSYCHIATRY |
| City + Specialty | CHATTANOOGA + PSYCHIATRY |
Please comment or provide details below to improve the information on Ahmed A Ibrahim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.