Individual provider · Type 1 NPI

Mariam Kerolos Ibraheem, MD

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1386586907 Active

Practice location

920 Madison Avenue, Suite 447
Memphis, TN 38163-3438

Call (615) 396-6454 Map

Mailing address

1020 N Highland Ave Ste C
Murfreesboro, TN 37130-2494

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 1386586907

Mariam Kerolos Ibraheem, MD's National Provider Identifier is 1386586907, issued on Apr 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Apr 6, 2026.