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NPI Code Detail

MEDICARE: AMIR IBRAHIM

MEDICARE: AMIR IBRAHIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH100002188VA

General Provider Information

NPI Number : 1043816234
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIR IBRAHIM
Provider Business Mailing Address
First Line : 2240 M ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20037-1415
Country : US
Telephone Number : 202-296-9876
Fax Number :
Provider Business Practice Location Address
First Line : 2240 M ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20037-1415
Country : US
Telephone Number : 202-296-9876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2020
Last Update Date : 12/11/2020

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Directions to “ AMIR IBRAHIM ” Practice Location

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