Ibrahim Shatat MD

NPI 1144403999 - Pediatrics - 2080P0210X

NPI Details
NPI 1144403999
Gender Male
Enumeration Date 12/14/2007
Last Updated 12/14/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
171 ASHLEY AVE
CHARLESTON SC, 29425-0001, US
Phone (843) 792-1414
Fax
Business Location
PO BOX 751461
CHARLOTTE NC, 28275-1461, US
Phone (843) 792-6200
Fax
Toxanomy
Taxonomy Code 2080P0210X
License State South Carolina
License Number TL30425
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According to our database, Ibrahim Shatat MD NPI is 1144403999, taxonomy code is 2080P0210X and license number is TL30425, license state is located at South Carolina. Ibrahim Shatat MD physically located at 171 Ashley Ave, Charleston SC, 29425-0001. NPI Number Ibrahim Shatat MD has the Individual type.

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1144403999 NPI number is provided on an as is basis without warranty of any kind. 1144403999 is maintained by the National Plan & Provider Enumeration System. The contents of Ibrahim Shatat MD are for informational purposes only.