Individual provider · Type 1 NPI

Sulafa Eisa Mohammed Ibrahim

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

NPI number 1912679515 Active

Practice location

80 Seymour St
Hartford, CT 06102-8000

Call (860) 972-6113 Map

Mailing address

Baystate Medical Center 759 Chestnut Street
Springfield, MA 01199-0001

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 1912679515

Sulafa Eisa Mohammed Ibrahim's National Provider Identifier is 1912679515, issued on Oct 1, 2021. 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 Jun 11, 2025.