Doctor profile · Federal record
Dr. Ihab Ibrahim, MD
Internal Medicine Physician · Internal Medicine Physician · Internal Medicine Physician · San Luis Obispo, CA
- NPI 1417062712
- 20 yrs on file
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
77 Casa St
San Luis Obispo, CA 934055803
(805) 269-1500
fax (805) 269-1585 - Mailing address
-
2050 S Blosser RD
Santa Maria, CA 934587310
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 16, 2025
- Specialty taxonomy
- 207R00000X — NUCC code
- State licenses (3)
- California #A49412 · Washington #TD60482949 · Hawaii #MD-7946
- Medicaid
- WA #1417062712
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417062712. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$21
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | 1 | $20.68 |
By nature of payment
Frequently asked questions
What is Dr. Ihab Ibrahim's medical specialty?
Dr. Ihab Ibrahim practices Internal Medicine Physician in San Luis Obispo, CA.
Where does Dr. Ihab Ibrahim practice?
Dr. Ihab Ibrahim practices at 77 Casa St, San Luis Obispo, CA 934055803. Office phone: 8052691500.
What is Dr. Ihab Ibrahim's NPI?
Dr. Ihab Ibrahim's National Provider Identifier (NPI) is 1417062712, issued by NPPES.