Provider Demographics
NPI:1306532957
Name:IBRAHIM, AMMAR (INTERPRETER)
Entity type:Individual
Prefix:MR
First Name:AMMAR
Middle Name:
Last Name:IBRAHIM
Suffix:
Gender:M
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 S LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-3402
Mailing Address - Country:US
Mailing Address - Phone:509-579-2227
Mailing Address - Fax:
Practice Address - Street 1:3505 S LINCOLN ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338-3402
Practice Address - Country:US
Practice Address - Phone:509-579-2227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAID-276171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter