Individual provider · Type 1 NPI

Mahmoud Saad Eisa Ali Ibrahim, MD

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1114836640 Active

Practice location

80 Seymour St
Hartford, CT 06102-8000

Call (860) 972-2975 Map

Mailing address

263 Farmington Ave
Farmington, CT 06030-1921

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 1114836640

Mahmoud Saad Eisa Ali Ibrahim, MD's National Provider Identifier is 1114836640, issued on Sep 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Sep 2, 2026.