Provider Demographics
NPI:1962935395
Name:IBRAHIM-HAMDAN, ANAS (MD)
Entity type:Individual
Prefix:DR
First Name:ANAS
Middle Name:
Last Name:IBRAHIM-HAMDAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ENIS
Other - Middle Name:
Other - Last Name:IBRAHIM-HAMDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7946 N LOOP 1604 W
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-5174
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7946 N LOOP 1604 W
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-5174
Practice Address - Country:US
Practice Address - Phone:210-567-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0066777207L00000X
TXU2878207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology