Abubakar D Ibrahim (NPI# 1942248059, PAC ID# 5395783518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1942248059 |
PAC ID by PECOS | 5395783518 |
Professional Enrollment ID | I20050419000877 |
Full Name | Abubakar D Ibrahim |
Address |
6821 Pines Rd Suite 300 Shreveport LA 71129-2547 |
Phone Number | 3186861522 |
Gender | M |
Credential | MD |
Graduation Year | 1986 |
Primary Specialty | EMERGENCY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190111 | WILLIS KNIGHTON MEDICAL CENTER |
190041 | CHRISTUS HEALTH SHREVEPORT - BOSSIER |
Address | Phone | Organization |
---|---|---|
6821 Pines Rd, Suite 300, Shreveport, LA 71129-2547 | 3186861522 |
Street Address |
6821 PINES RD SUITE 300 |
City | SHREVEPORT |
State | LA |
Zip | 71129-2547 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tonya M Clayton | Internal Medicine | 6821 Pines Rd, Suite 200, Shreveport, LA 71129-2547 | |
James S May | Family Medicine | Wk Pines Road Family Medicine | 6821 Pines Rd, Suite 100, Shreveport, LA 71129-2547 |
Kaytlin H Hughes | Nurse Practitioner | Wk Pines Road Family Medicine | 6821 Pines Rd, Suite 100, Shreveport, LA 71129-2547 |
Dharam P Gurwara | Physical Medicine and Rehabilitation | 6821 Pines Rd, Suite 400, Shreveport, LA 71129-2547 | |
Krishna Raj Singh | Internal Medicine | 6821 Pines Rd, Suite 400, Shreveport, LA 71129-2547 |
Name | Specialty | Organization | Address |
---|---|---|---|
James P Murphy | Optometry | 6235 Westport Ave, Shreveport, LA 71129-2503 | |
Mark D Guice | Chiropractic | 7645 Pines Rd, Shreveport, LA 71129-3905 | |
Jaschandria I Bailey | Nurse Practitioner | Shreveport Family Medicine Inc | 7505 Pines Rd, Suite 1250, Shreveport, LA 71129-3927 |
Shelia L. Jackson | Nurse Practitioner | Shreveport Family Medicine Inc | 7505 Pines Rd, Suite 1250, Shreveport, LA 71129-3927 |
Antwan Butler | Clinical Social Worker | Peaceful Alternatives Counseling and Therapy LLC | 5902 Buncombe Rd, Shreveport, LA 71129-4004 |
Derrick L Stevenson | Clinical Social Worker | 12117 Providence Rd, Shreveport, LA 71129-8521 |
City | SHREVEPORT |
Zip Code | 71129 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | SHREVEPORT + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Abubakar D 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.