Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ammoura Mohammed Ibrahim, MBCHB

Individual provider Hematology (Pathology) Physician · NPI 1588195911

Ammoura Mohammed Ibrahim, MBCHB is a Pathology in Shreveport, Louisiana. Qualified in 2007, 19 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
19
Licensed in
LA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 342369 (LA)
Hematology (Pathology) Physician Taxonomy 207ZH0000X · Licence 342369 (LA)
Molecular Genetic Pathology (Pathology) Physician Taxonomy 207ZP0007X · Licence 342369 (LA)

Record details

NPI number1588195911
Entity typeIndividual (Type 1)
GenderMale
Credentials MBCHB
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport