Ihab Herraka M.D.

NPI 1174610018 - Internal Medicine - 207R00000X

NPI Details
NPI 1174610018
Gender Male
Enumeration Date 10/10/2006
Last Updated 05/08/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3416 OLD GREENWOOD RD
FORT SMITH AR, 72903-5462, US
Phone (479) 441-5565
Fax (479) 441-5566
Business Location
3416 OLD GREENWOOD RD
FORT SMITH AR, 72903-5462, US
Phone (479) 441-5565
Fax (479) 441-5566
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number TRN10010
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According to our database, Ihab Herraka M.D. NPI is 1174610018, taxonomy code is 207R00000X and license number is TRN10010, license state is located at Florida. Ihab Herraka M.D. physically located at 3416 Old Greenwood Rd, Fort Smith AR, 72903-5462. NPI Number Ihab Herraka M.D. has the Individual type.

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1174610018 NPI number is provided on an as is basis without warranty of any kind. 1174610018 is maintained by the National Plan & Provider Enumeration System. The contents of Ihab Herraka M.D. are for informational purposes only.