Individual
DR. DIMA MOUSSA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ERWIN ROAD DURHAM, DURHAM, NC 27710-0001
(919) 564-8111
Mailing address
2301 ERWIN RD # C2B, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LR1731552
LEBANESE PASSPORT
—
Enumeration date
08/24/2020
Last updated
08/26/2020
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