Individual provider · Type 1 NPI

Essam Salah Eliwa Sanad Ibrahim, MD

Student in an Organized Health Care Education/Training Program · Riverdale, GA

NPI number 1093691487 Active

Practice location

29 Upper Riverdale Rd SW Ste Ms
Riverdale, GA 30274-2616

Call (770) 398-2400 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093691487

Essam Salah Eliwa Sanad Ibrahim, MD's National Provider Identifier is 1093691487, issued on Aug 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverdale, GA. The record was last updated on Aug 12, 2025.