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

Dr. Fadi Ibrahim

Individual provider Specialist · NPI 1033159629

Dr. Fadi Ibrahim is a Pathology in Germantown, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2005, 21 years ago. Practices with Pathology Specialists of Memphis PC, a 15-clinician group and accepts Medicare assignment. Licensed in California, Indiana, Michigan and Tennessee and 2 more.

Years since qualifying
21
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
CA, IN, MI, TN, VA, WV
In the registry since
2006
Specialties on file
7
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Practice location Address checks out

7550 Wolf River Blvd Ste 200
Germantown, TN 38138-1778
Phone: (901) 542-6845
Fax: (901) 542-6890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 40377 (TN)
Specialist Taxonomy 174400000X · Licence 40377 (TN)
Specialist Taxonomy 174400000X · Licence A93586 (CA)
Specialist Taxonomy 174400000X · Licence 22149 (WV)
Specialist Taxonomy 174400000X · Licence 0101237736 (VA)
Specialist Taxonomy 174400000X · Licence 01061271 A (IN)
Specialist Taxonomy 174400000X · Licence 4301085213 (MI)

Record details

NPI number1033159629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Pathology Specialists Of Memphis Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Germantown