Organization
IBRAHIM N. OUDEH MD PA
Active
Organization
IBRAHIM N. OUDEH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM N OUDEH MD (DOCTOR OUDEH)
(910) 292-2070
Entity
Organization
Contact information
Practice address
721 TILGHMAN DR, DUNN, NC 28334
(910) 292-2070
Mailing address
801 TILGHMAN DR STE A, DUNN, NC 28334-4958
(910) 892-6500
(910) 892-1031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34428
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011KY
GROUP BCBS NUMBER
NC
05
—
89011KY
—
NC
Enumeration date
05/11/2007
Last updated
06/08/2021
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