Individual ProviderIbrahim MohammedStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address43 New Scotland Avenue, Department Of Internal Medicine, Albany, NY 12208(518) 262-5377PECOS EnrollmentBased on the most recent information from CMS, provider Ibrahim Mohammed does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1245964063Provider TypeIndividualFull NameMohammed, IbrahimTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date7/16/2022Last Updated7/16/2022Contact InformationPractice LocationPractice Address43 New Scotland Avenue, Department Of Internal Medicine, Albany, NY 12208Phone(518) 262-5377FaxUnlisted FaxMailing LocationMailing Address43 New Scotland Avenue, Department Of Internal Medicine, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer