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IBRAHIM T BEIDARI CRNP
NPI 1740636596
Nurse Practitioner - Family in Harrisburg, PA

Active since May 11, 2016
111 S FRONT ST, HARRISBURG, PA 17101(717) 782-3380(717) 782-5716 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2017, May 11, 2016 (2 updates tracked since 2016).

About Ibrahim T Beidari Crnp NPPES

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

IBRAHIM T BEIDARI CRNP (NPI 1740636596) is an individual family provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP016119) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1740636596
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameIBRAHIM T BEIDARICredential: CRNP
Location Address111 S FRONT STHarrisburg, PA 17101-2010
Mailing Address409 S 2nd St Ste 2fHarrisburg, PA 17104-1612
Phone(717) 782-3380
Fax(717) 782-5716
Sole ProprietorNo
Enumeration DateMay 11, 2016
Last NPPES UpdateJanuary 23, 20182 updates tracked since enumeration
✔ NPI 1740636596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP016119
111 S FRONT ST, Harrisburg, PA 17101
Open in Google Maps ↗

Other Identifiers 1

Medicaid103112700PA

Other Providers at the Same Location NPPES 20

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

JOSEPH ELI BENAKNIN D.O.
Emergency Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5908
DAVID BITTNER METZGER MD
Family Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 231-8772
MRS. HOLLY ANN MALEY CRNA
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5118
DOUGLAS JOHNSON CRNA
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5118
QUAN TRAN M.D.
Internal Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 231-8772
SHOUK MANSOUR RD, CDCES
Dietitian, Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3131
THERESA NGUYEN PHARMD
Student in an Organized Health Care Education/Training Program
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3338
JONELLE R DERK CRNP
Nurse Practitioner (Family)
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3380

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 Ibrahim Beidari's NPI number?

The NPI number for Ibrahim Beidari is 1740636596. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Ibrahim Beidari located?

Ibrahim Beidari practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 782-3380.

What is Ibrahim Beidari's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ibrahim Beidari was last updated on January 23, 2018. 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.