Individual
WALEED IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4723 COMMONS DR, APT 304, ANNANDALE, VA 22003-5066
(760) 444-3076
Mailing address
4723 COMMONS DR, APT 304, ANNANDALE, VA 22003-5066
(760) 444-3076
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
200300815
NC
2085R0202X
Diagnostic Radiology Physician
Primary
4301072946
MI
Other
Enumeration date
10/08/2012
Last updated
11/22/2013
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