Individual
IBRAHIM AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1616 13TH AVE STE 200, HUNTINGTON, WV 25701-3840
(304) 691-1824
Mailing address
5000 OWENS WAY APT 933, PRINCE GEORGE, VA 23875-2378
(718) 249-3581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417712
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2020
Last updated
07/25/2022
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