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

Dr. Ghassan Jerjous Ibrahim, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1740456136

Dr. Ghassan Jerjous Ibrahim, MD is a Pathology in Phoenix, Arizona. Qualified in 1991, 35 years ago. Practices with Pathology Specialist of Arizona, LLP, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and New Jersey.

Years since qualifying
35
Licensed in
AZ, NJ
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

424 S 56th St Ste 120
Phoenix, AZ 85034-2177
Phone: (602) 685-5166
Fax: (602) 685-5325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Nj 72, Manahawkin, NJ 08050-0805 — (609) 978-8900

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 58135 (AZ)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 25MA08776200 (NJ)

Record details

NPI number1740456136
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2008
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Pathology Specialist Of Arizona, Llp — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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