Healthcare Provider Details

I. General information

NPI: 1245404532
Provider Name (Legal Business Name): MOHAMED ABDELRAHIM YOUSIF IBRAHIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MOHAMED ABDELRAHIM IBRAHIM MD

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 S LONG DR STE 205
ROCKINGHAM NC
28379-4874
US

IV. Provider business mailing address

921 S LONG DR STE 205
ROCKINGHAM NC
28379-4874
US

V. Phone/Fax

Practice location:
  • Phone: 910-417-3477
  • Fax: 910-417-3464
Mailing address:
  • Phone: 910-417-3477
  • Fax: 910-417-3464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number200800166
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: