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Contact Information

MOHAMMED A IBRAHIM, MD
8100 NORTHLAND DR
BLOOMINGTON, MN55431-4800
 Phone: 952-831-8742
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MOHAMMED A IBRAHIM · (Male)

NPI Number 1255785465
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2016
Last updated 06/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 70404
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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