Fadi Ibrahim

NPI 1033159629 - Specialist - 174400000X

NPI Details
NPI 1033159629
Gender Male
Enumeration Date 06/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
150 COLLINS ST
MEMPHIS TN, 38112-3814, US
Phone (901) 526-7444
Fax (901) 526-0791
Business Location
7550 CRYSTAL LAKE DR
CORDOVA TN, 38016-8771, US
Phone (901) 526-7444
Fax
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A93586
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According to our database, Dr. Fadi Ibrahim NPI is 1033159629, taxonomy code is 174400000X and license number is A93586, license state is located at California. Fadi Ibrahim physically located at 150 Collins St, Memphis TN, 38112-3814. NPI Number Fadi Ibrahim has the Individual type.

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1033159629 NPI number is provided on an as is basis without warranty of any kind. 1033159629 is maintained by the National Plan & Provider Enumeration System. The contents of Fadi Ibrahim are for informational purposes only.