| Provider / Organization | NPI | Date Certified |
|---|---|---|
| IBRAHIM YUSUF ABUBEKER | 1164064655 | 2019-10-16 |
Ibrahim Yusuf Abubeker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164064655. Registration indicates Ibrahim Yusuf Abubeker is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Ibrahim Yusuf Abubeker MD |
| Practice Office Address | 593 EDDY ST PROVIDENCE, RI US |
| Practice Office Telephone | 4014444741 |
| Practice Office Fax | 4014444445 |
| Mailing Address | 110 ELM ST PROVIDENCE, RI 029034626 US |
| Business Telephone | 4014434992 |
| Business Fax | 4015377241 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | MD18264
RI |