Provider Demographics
NPI:1043183171
Name:CHERIF, IBRAHIMA
Entity type:Individual
Prefix:
First Name:IBRAHIMA
Middle Name:
Last Name:CHERIF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 RIVERSIDE DR # 650
Mailing Address - Street 2:
Mailing Address - City:UPPER ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43221-4012
Mailing Address - Country:US
Mailing Address - Phone:301-633-8212
Mailing Address - Fax:
Practice Address - Street 1:2025 RIVERSIDE DR # 650
Practice Address - Street 2:
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43221-4012
Practice Address - Country:US
Practice Address - Phone:301-633-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.167560.MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse