Provider Demographics
NPI:1134497340
Name:IBRAHIM, NAGWA MOHIELDIN II
Entity Type:Individual
Prefix:MRS
First Name:NAGWA
Middle Name:MOHIELDIN
Last Name:IBRAHIM
Suffix:II
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NAGWA
Other - Middle Name:M
Other - Last Name:IBRAHIM
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8901 S SANTA FE AVE STE E
Mailing Address - Street 2:8901
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-8413
Mailing Address - Country:US
Mailing Address - Phone:405-605-5757
Mailing Address - Fax:405-605-5775
Practice Address - Street 1:8901 S.SANTA FE AVE STE E
Practice Address - Street 2:8901
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-8413
Practice Address - Country:US
Practice Address - Phone:405-605-5757
Practice Address - Fax:405-605-5775
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health