Provider Demographics
NPI:1750477139
Name:ALMEKY, IBRAHIM M (MD)
Entity Type:Individual
Prefix:DR
First Name:IBRAHIM
Middle Name:M
Last Name:ALMEKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:IBRAHIM
Other - Middle Name:M
Other - Last Name:ALMEKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:511 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-5731
Mailing Address - Country:US
Mailing Address - Phone:570-714-3333
Mailing Address - Fax:570-338-3993
Practice Address - Street 1:511 PIERCE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5731
Practice Address - Country:US
Practice Address - Phone:570-714-3333
Practice Address - Fax:570-338-3993
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD432219208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA9362075OtherAETNA
PA2820551OtherUNITEDHEALTHCARE
PA1019842300001Medicaid
PA821805OtherFIRST PRIORITY HEALTH
PA1990239OtherHIGHMARK BLUE SHIELD
PA821805OtherFIRST PRIORITY HEALTH
PA2820551OtherUNITEDHEALTHCARE