ESSAM SALAH ELIWA SANAD IBRAHIM M.D
NPI 1093691487
Student in an Organized Health Care Education/Training Program in Riverdale, GA

Active since August 12, 2025
29 UPPER RIVERDALE RD SW STE MS, RIVERDALE, GA 30274(770) 398-2400 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Essam Salah Eliwa Sanad Ibrahim M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSAM SALAH ELIWA SANAD IBRAHIM M.D (NPI 1093691487) is an individual student in an organized health care education/training program in Riverdale, Georgia and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1093691487
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameESSAM SALAH ELIWA SANAD IBRAHIMCredential: M.D
Location Address29 UPPER RIVERDALE RD SW STE MSRiverdale, GA 30274-2616
Mailing Address29 Upper Riverdale Rd Sw Ste MsRiverdale, GA 30274-2616
Sole ProprietorNo
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
NPI 1093691487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
29 UPPER RIVERDALE RD SW STE MS, Riverdale, GA 30274

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
29 UPPER RIVERDALE RD SW STE MS
RIVERDALE, GA 30274
Student in an Organized Health Care Education/Training Program
29 UPPER RIVERDALE RD SW STE MS
RIVERDALE, GA 30274
Student in an Organized Health Care Education/Training Program
29 UPPER RIVERDALE RD SW STE MS
RIVERDALE, GA 30274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Essam Ibrahim's NPI number?

The NPI number for Essam Ibrahim is 1093691487. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Essam Ibrahim located?

Essam Ibrahim practices at 29 Upper Riverdale Rd SW Ste Ms, Riverdale, GA 30274. The listed phone number is (770) 398-2400.

What is Essam Ibrahim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Essam Ibrahim was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.