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NPI Code Detail

MEDICARE: OSAMA IBRAHIM IBRAHIM NAGA M.D.

MEDICARE:   OSAMA IBRAHIM IBRAHIM NAGA  M.D.
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
1208000000XPediatrics PhysicianBP10031885TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11316373848OTHERTXGROUP
21396080867OTHERTXGROUP NPI

General Provider Information

NPI Number : 1912169921
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSAMA IBRAHIM IBRAHIM NAGA M.D.
Provider Business Mailing Address
First Line : 7208 LONGSPUR
Second Line :
City : EL PASO
State : TX
Zip : 79911-3090
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6901 HELEN OF TROY
Second Line : SUITE E-1
City : EL PASO
State : TX
Zip : 79911-3043
Country : US
Telephone Number : 915-351-0302
Fax Number : 915-351-0320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2008
Last Update Date : 05/08/2014

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