Active NPIIndividual provider

Dr. Ibrahim S Khaddash, MD

Internal Medicine, Cardiovascular Disease in Clifton, New Jersey

NPI Number1477840247
Practice location
969 Paulison Ave, Clifton, NJ 07011-3629
Fax
973-546-8501
Last updated
July 21, 2022

Ibrahim Saleh Khaddash is an Internal Medicine, Cardiovascular Disease based in Clifton, NJ. Ibrahim Saleh Khaddash practices in Clifton, NJ and has the professional credentials of MD. The NPI Number for Ibrahim Saleh Khaddash is 1477840247 and holds a License No. 25MA09543500 (NJ). The current practice location address for Ibrahim Saleh Khaddash is 969 Paulison Ave, Clifton, NJ 07011-3629 and can be reached out via phone at 973-546-3355 and via fax at 973-546-8501.

Provider Profile Details

NPI Number
1477840247
Provider Name
Ibrahim Saleh Khaddash
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
969 Paulison Ave, Clifton, NJ 07011-3629
Phone Number
973-546-3355
Fax Number
973-546-8501
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2011
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
969 Paulison Ave
Clifton, NJ 07011-3629
Zip
07011-3629
Phone Number
973-546-3355
Fax Number
973-546-8501
Clifton, NJ 07011Get directions →

Provider Business Mailing Address Details

Address
969 Paulison Ave
Clifton, NJ 07011-3629
City
Clifton
State
NJ
Zip
07011-3629
Phone Number
973-546-3355
Fax Number
973-546-8501

License Information

License Number (2)
25MA09543500
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ibrahim S Khaddash, MD?

The NPI number of Dr. Ibrahim S Khaddash, MD is 1477840247. It was assigned on June 30, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Ibrahim S Khaddash, MD?

Dr. Ibrahim S Khaddash, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NJ under license number 25MA09543500.

Where does Dr. Ibrahim S Khaddash, MD practice?

The practice location is 969 Paulison Ave, Clifton, NJ 07011-3629. The office can be reached at 973-546-3355 (phone) or 973-546-8501 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477840247 directly on the NPPES registry website.

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