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

Hanan Ibrahim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023591682

Hanan Ibrahim is an Internal Medicine in Jackson, Mississippi. Qualified in 2015, 11 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 31343 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023591682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address2799 W Grand Blvd, Detroit, MI 48202-2608

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jackson