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Ammar K. Al-Ibraheemi

Radiology

Allopathic & Osteopathic Physicians

601 N Wolfe St Rm 3235a, Baltimore, MD 21287-0004

PECOS Enrollment

This provider is enrolled in PECOS as AMMAR AL-IBRAHEEMI.

Based on the most recent information from CMS, provider Ammar K. Al-Ibraheemi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1538415633
Provider Type
Individual
Full Name
Al-Ibraheemi, Ammar K.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/26/2012
Last Updated
11/13/2017

Contact Information

Practice Location

601 N Wolfe St Rm 3235a, Baltimore, MD 21287-0004

(410) 955-9446

Unlisted Fax

Mailing Location

9910 Franklin Square Dr, # 2110, Baltimore, MD 21236-4902

(713) 367-2582

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License D82825 Maryland

Ammar K. Al-Ibraheemi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wolfman, Darcy Jennifer

Cooper, Heidi Marie

Wheeler, Paul

Hernandez Villate, Gabriela Maria

Campbell, Laura Kathryn

Zimmerman, Stefan Loy

Sheth, Sheila

Lurito, Joseph T

Desai, Neal

Fishman, Elliot K