DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. MOHAMED IBRAHIM BDS, MS, PHD, DMD

MEDICARE: DR. MOHAMED IBRAHIM BDS, MS, PHD, DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodontics18061-875WI

General Provider Information

NPI Number : 1659745529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMED IBRAHIM BDS, MS, PHD, DMD
Provider Business Mailing Address
First Line : 18320 TAYWOOD CIR APT 202
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-5681
Country : US
Telephone Number : 319-512-2837
Fax Number :
Provider Business Practice Location Address
First Line : 1250 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-2225
Country : US
Telephone Number : 414-288-3455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2015
Last Update Date : 11/16/2015

Similar Medicare Providers

1407790371 — ALEJANDRA GARCIA
Practice Location Address:
1250 W WISCONSIN AVE
MILWAUKEE, WI
53233-2225
Practice Phone: 800-222-6544
Practice Fax:
1285404483 — ISAAC KENNETH ROEHRIG
Practice Location Address:
1250 W WISCONSIN AVE
MILWAUKEE, WI
53233-2225
Practice Phone: 800-222-6544
Practice Fax:
1780496935 — JORDAN TAYLOR EASTERLIN
Practice Location Address:
1250 W WISCONSIN AVE
MILWAUKEE, WI
53233-2225
Practice Phone: 800-222-6544
Practice Fax:
1649142258 — BRIANNA DOERR
Practice Location Address:
1250 W WISCONSIN AVE
MILWAUKEE, WI
53233-2225
Practice Phone: 800-222-6544
Practice Fax:
1558233163 — MEGHAN ERIN EASTERDAY
Practice Location Address:
1250 W WISCONSIN AVE
MILWAUKEE, WI
53233-2225
Practice Phone: 414-288-4668
Practice Fax:
1184596793 — GRANT CLARK BRIERTON CLARK
Practice Location Address:
1250 W WISCONSIN AVE
MILWAUKEE, WI
53233-2225
Practice Phone: 800-222-6544
Practice Fax:

Directions to “ DR. MOHAMED IBRAHIM BDS, MS, PHD, DMD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.