NPI 1265135230 · live from the CMS NPI Registry
Noor Eisa Adam Ibrahim, MD
Pediatrics in Philadelphia, PA. National Provider Identifier 1265135230, active.
NPI record
| NPI | 1265135230 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 3401 Civic Center Blvd, Philadelphia, PA 19104 |
| Practice phone | 215-590-1722 |
| Mailing address | 2451 University Hospital Dr Rm 714, Mobile, AL 36617 |
| Enumerated | March 27, 2023 |
| Last updated | June 23, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | MT234308 (PA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Pediatrics primary | 208000000X | L.5914R (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.