IndividualActive
Nour Ibrahim, MD
NPI 1336029032 · Geriatric Medicine (Internal Medicine) Physician · Saint Louis, MO
Provider details
- NPI number
- 1336029032
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2025015467 (MO)
Mailing address
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Registry dates
- Enumerated
- 2025-09-03
- Last updated
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.