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

Ihab Ibrahim, MD

Individual provider Internal Medicine Physician · NPI 1417062712

Ihab Ibrahim, MD is an Internal Medicine in San Luis Obispo, California. Qualified in 1985, 41 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group and accepts Medicare assignment. Licensed in California, Hawaii and Washington.

Years since qualifying
41
Licensed in
CA, HI, WA
In the registry since
2006
Specialties on file
3
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

77 Casa St
San Luis Obispo, CA 93405-5803
Phone: (805) 269-1500
Fax: (805) 269-1585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A49412 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence TD60482949 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD-7946 (HI)

Record details

NPI number1417062712
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Luis Obispo