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Contact Information

MANAR S IBRAHIM, MD
1501 S WALDRON RD
STE 100
FORT SMITH, AR72903-2574
 Phone: 479-709-7337
 Fax: 479-709-7461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MANAR S IBRAHIM · (Female)

NPI Number 1174510085
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2005
Last updated 08/13/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E0451
  • AR Medicaid 127853001
  • OK Medicaid 100224660A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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