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IHAB JOHN IBRAHIM MD LLC
NPI 1699283804
Pain Medicine - Interventional Pain Medicine in Shreveport, LA

Active since January 22, 2018
672 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118(318) 572-2067(318) 572-2067 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ihab John Ibrahim Md Llc NPPES

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

IHAB JOHN IBRAHIM MD LLC (NPI 1699283804) is a healthcare organization registered as an interventional pain medicine in Shreveport, Louisiana and active in the NPI registry since January 2018. The organization lists Ihab John Ibrahim, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1699283804
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameIHAB JOHN IBRAHIM MD LLC
Location Address672 BERT KOUNS INDUSTRIAL LOOPShreveport, LA 71118-5701
Mailing Address635 Summerville DrShreveport, LA 71115-3865 · (318) 572-2067 · Fax (877) 991-8458
Phone(318) 572-2067
Fax(318) 572-2067
Organization SubpartNo
Authorized OfficialIhab John IbrahimSole Owner · (318) 572-2067
Enumeration DateJanuary 22, 2018
Last NPPES UpdateJune 16, 2018
✔ NPI 1699283804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in LA · MD.14699R
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD.14699R (LA)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License MD.14699R (LA)
672 BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71118
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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


The following 2 providers are registered at the same or a nearby location.

DR. KENNETH EDWARD WOJCIK D.C.
Chiropractor
672 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 686-3152
SOUTHSIDE CHIROPRACTIC CLINIC LLC
Chiropractor
672 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 686-3152

Frequently Asked Questions

What is IHAB JOHN IBRAHIM MD LLC's NPI number?

The NPI number assigned to this healthcare provider is 1699283804, enumerated as an "organization" on January 22, 2018.

Where is the provider located?

The provider is located at 672 BERT KOUNS INDUSTRIAL LOOP SHREVEPORT, LA 71118 and the phone number is (318) 572-2067.

What is the provider's specialty?

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.