Jihad Y Ibrahim, M.D.

NPI #1043464431 in Licking, Missouri

Provider Information

NPI Number: 1043464431
Entity Type: Individual
Name: Jihad Y Ibrahim, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Nov 11, 2008
Last Updated: Nov 11, 2008

Practice Location

Address: 255 W HIGHWAY 32
City: Licking
State: Missouri
ZIP Code: 65542-9076
Phone: (573) 674-4470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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