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Individual
DR. FADI IBRAHIM
Active
Individual
DR. FADI IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101237736
VA
174400000X
Specialist
01061271 A
IN
174400000X
Specialist
22149
WV
174400000X
Specialist
40377
TN
174400000X
Specialist
4301085213
MI
174400000X
Specialist
A93586
CA
207ZP0101X
Anatomic Pathology Physician
Primary
40377
TN
Other
Enumeration date
06/08/2006
Last updated
03/30/2021
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