=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851759906
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AISHA IBRAHIM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/03/2016
-----------------------------------------------------
Last Update Date | 02/03/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5322 SAN PABLO GARDENS DR
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77045-4061
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-212-9701
-----------------------------------------------------
Fax | 713-513-5585
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5322 SAN PABLO GARDENS DR
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77045-4061
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-212-9701
-----------------------------------------------------
Fax | 713-513-5585
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246YC3301X
-----------------------------------------------------
Taxonomy Name | Hospital Based Coding Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 246YC3302X
-----------------------------------------------------
Taxonomy Name | Physician Office Based Coding Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 246YR1600X
-----------------------------------------------------
Taxonomy Name | Registered Record Administrator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------