Provider Demographics
NPI:1407848237
Name:IBRAHIM, SAMIH A (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMIH
Middle Name:A
Last Name:IBRAHIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HAMILTON HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-631-6899
Mailing Address - Fax:609-631-6898
Practice Address - Street 1:1 HAMILTON HEALTH PL
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-631-6899
Practice Address - Fax:609-631-6898
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA06611207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01000288001OtherAMERICHOICE
NJ209797OtherUS FAMILY HEALTHPLAN
NJ4201190OtherCIGNA HEALTHCARE
NJ33469OtherAMERIGROUP
NJ1149766OtherHORIZON NJ HEALTH
NJ1867601OtherUNITED HEALTHCARE
NJ2634745OtherAETNA USHC
NJ335256OtherONE HEALTHPLAN
NJP841975OtherOXFORD HEALTHPLAN
NJ7412207Medicaid
NJ1104254OtherFIRST HEALTH
NJ0300512000OtherAMERIHEALTH
NJ27013OtherUNIVERSITY HEALTHPLAN
NJ2K0284OtherHEALTHNET
NJ1149766OtherHORIZON NJ HEALTH
NJ000310Medicare ID - Type Unspecified