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

Jibraan Ahmed Fawad

Individual provider Pediatric Gastroenterology Physician · NPI 1528682739

Jibraan Ahmed Fawad is a Pediatric Gastroenterology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020

Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (267) 425-2739
Show map & directions

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

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence MT229010 (PA)

Record details

NPI number1528682739
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2020
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

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