Healthcare Provider Details

I. General information

NPI: 1326601493
Provider Name (Legal Business Name): IBRAHIM ASKAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 MCCRACKEN RD
GARFIELD HEIGHTS OH
44125-2914
US

IV. Provider business mailing address

12300 MCCRACKEN RD
GARFIELD HEIGHTS OH
44125-2914
US

V. Phone/Fax

Practice location:
  • Phone: 216-445-9992
  • Fax: 216-636-5956
Mailing address:
  • Phone: 216-445-9992
  • Fax: 216-636-5956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD42068
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: