Provider Demographics
NPI:1942535919
Name:IBRAHIM, GEORGE KAISSAR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:KAISSAR
Last Name:IBRAHIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1 VANDERBILT PARK DR STE 230
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1766
Mailing Address - Country:US
Mailing Address - Phone:828-505-2885
Mailing Address - Fax:
Practice Address - Street 1:1 VANDERBILT PARK DR STE 230
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1766
Practice Address - Country:US
Practice Address - Phone:828-505-2885
Practice Address - Fax:828-575-0913
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-08
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39184208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology