IndividualActive
Jihad Ibrahim, M.D.
NPI 1043464431 · Internal Medicine Physician · Licking, MO
Provider details
- NPI number
- 1043464431
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 103766 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
255 W Highway 32
Licking, MO 65542-9076
Phone: (573) 674-4470
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 648
Salem, MO 65560-0648
Registry dates
- Enumerated
- 2008-11-11
- Last updated
- 2008-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.