DR. MAZEN M IBRAHIM
NPI 1952370710
Family Medicine in Charlestown, IN

Active since March 15, 2006
9423 HIGHWAY 403, CHARLESTOWN, IN 47111(812) 256-6388(812) 256-0475 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mazen M Ibrahim NPPES

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

DR. MAZEN M IBRAHIM (NPI 1952370710) is an individual family medicine provider in Charlestown, Indiana, licensed in Indiana (01028371A) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1952370710
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MAZEN M IBRAHIM
Location Address9423 HIGHWAY 403Charlestown, IN 47111-9664
Mailing Address9423 Highway 403Charlestown, IN 47111-9664 · (812) 256-6388 · Fax (812) 256-0475
Fax(812) 256-0475
Sole ProprietorNo
Enumeration DateMarch 15, 2006
Last NPPES UpdateJanuary 20, 2011
NPI 1952370710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01028371A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9423 HIGHWAY 403, Charlestown, IN 47111

Other Identifiers 5

Medicare UPIND69415IN
Medicaid100075220IN
Other000000042374IN · Anthem
Medicare ID-Type Unspecified122560IN
Medicare PIN260810BIN

Other Providers at the Same Location NPPES

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

Internal Medicine
9423 HIGHWAY 403
CHARLESTOWN, IN 47111

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 Mazen Ibrahim's NPI number?

The NPI number for Mazen Ibrahim is 1952370710. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Mazen Ibrahim located?

Mazen Ibrahim practices at 9423 Highway 403, Charlestown, IN 47111. The listed phone number is (812) 256-6388.

What is Mazen Ibrahim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mazen Ibrahim was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.