Healthcare Provider Details

I. General information

NPI: 1083275184
Provider Name (Legal Business Name): IHAB H S MASRI MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2019
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW DEPT OF
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

110 IRVING ST NW DEPT OF
WASHINGTON DC
20010-3017
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-8278
  • Fax: 202-877-6292
Mailing address:
  • Phone: 202-877-8235
  • Fax: 202-877-8288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number36667
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number36667
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number36667
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: