NPI 1174610018 · live from the CMS NPI Registry
Ihab Herraka, M.D.
Internal Medicine, Gastroenterology in Spring Hill, FL. National Provider Identifier 1174610018, active.
NPI record
| NPI | 1174610018 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 5196 Mariner Blvd, Spring Hill, FL 34609 |
| Practice phone | 352-263-2831 |
| Mailing address | 14690 Spring Hill Dr, Ste 305, Spring Hill, FL 34609 |
| Enumerated | October 10, 2006 |
| Last updated | November 27, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | TRN10010 (FL) |
| Internal Medicine, Gastroenterology | 207RG0100X | E-7210 (AR) |
| Internal Medicine, Gastroenterology | 207RG0100X | 31083 (OK) |
| Internal Medicine, Gastroenterology | 207RG0100X | E7210 (AR) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | ME111070 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.