Individual
IBRAHIM TAWHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNIVERSITY OF UTAH HOSPITAL, 50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
5319 CITRUS BLVD, APT NO. E133, RIVER RIDGE, LA 70123-6154
(862) 754-6440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036149818
IL
207RN0300X
Nephrology Physician
Primary
036149818
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
02/07/2025
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