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

Shenouda Ibrahim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477308955

Shenouda Ibrahim is a Student in an Organized Health Care Education/Training Program in Henrico, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

4244 Broad Hill Dr Unit A
Henrico, VA 23233-7819
Phone: (551) 358-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401418916 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477308955
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address4244 Broad Hill Dr Unit A, Henrico, VA 23233-7819

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