Mian A. Ibrahim M.D.

NPI 1124015508 - Radiology - 2085R0202X

NPI Details
NPI 1124015508
Gender Male
Enumeration Date 09/30/2005
Last Updated 07/30/2008
Entity Type Individual
Active Over 12 years ago
Practice Location
LAFAYETTE LA, 70503-2621, US
Phone (337) 261-7970
Business Location
PO BOX 53127
LAFAYETTE LA, 70505-3127, US
Phone (337) 261-7970
Taxonomy Code 2085R0202X
License State Louisiana
License Number 24548
Remove 1124015508 NPI Number

According to our database, Dr. Mian A. Ibrahim M.D. NPI is 1124015508, taxonomy code is 2085R0202X and license number is 24548, license state is located at Louisiana. Mian A. Ibrahim M.D. physically located at 1214 Coolidge Blvd, Lafayette LA, 70503-2621. NPI Number Mian A. Ibrahim M.D. has the Individual type.

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1124015508 NPI number is provided on an as is basis without warranty of any kind. 1124015508 is maintained by the National Plan & Provider Enumeration System. The contents of Mian A. Ibrahim M.D. are for informational purposes only.