Healthcare Provider Details

I. General information

NPI: 1508817164
Provider Name (Legal Business Name): IBRAHIM SABRY FARID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERKINS SQ
AKRON OH
44308-1063
US

IV. Provider business mailing address

6709 BARKLEIGH CIR
BRECKSVILLE OH
44141-1734
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8823
  • Fax: 330-296-6535
Mailing address:
  • Phone: 330-543-8823
  • Fax: 330-296-6535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number35.078113
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number35-078113
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35-078113
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME157458
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: