HOSSAM IBRAHIM M.D.
NPI 1639168990
Internal Medicine - Endocrinology, Diabetes & Metabolism in St Petersburg, FL

Q: What is Hossam Ibrahim's NPI number?

The NPI number for Hossam Ibrahim is 1639168990. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is Hossam Ibrahim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Hossam Ibrahim was last updated on December 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since October 19, 2005

2763 1ST AVE N, ST PETERSBURG, FL 33713(727) 623-9913(727) 803-6852 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2017, Aug 29, 2017 (2 updates tracked since 2017).

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About Hossam Ibrahim M.d. NPPES

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

HOSSAM IBRAHIM M.D. (NPI 1639168990) is an individual endocrinology, diabetes & metabolism provider in St Petersburg, Florida, licensed in Florida (ME0058202) and active in the NPI registry since October 2005. He maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1639168990

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameHOSSAM IBRAHIMCredential: M.D.

Location Address2763 1ST AVE NSt Petersburg, FL 33713-8723

Mailing Address6229 66th St NPinellas Park, FL 33781-5025 · (727) 623-9913 · Fax (727) 803-6852

Phone(727) 623-9913

Fax(727) 803-6852

Sole ProprietorYes

Enumeration DateOctober 19, 2005

Last NPPES UpdateDecember 29, 20172 updates tracked since enumeration

✔ NPI 1639168990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in FL · ME0058202

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

2763 1ST AVE N, St Petersburg, FL 33713

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Secondary Practice Location 1

Location 12763 1st Ave NSt Petersburg, FL 33713-8723 · Phone (727) 623-9913 · Fax (727) 803-6852

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MASHARIA ANN CLARK ARNP

Nurse Practitioner (Psychiatric/Mental Health)