Individual
DR. HIBA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
424 S 56TH ST STE 120, PHOENIX, AZ 85034-2177
(602) 685-5211
(602) 685-5325
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(602) 685-5166
(602) 685-5325
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
63206
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
63206
AZ
Other
Enumeration date
04/06/2015
Last updated
11/05/2021
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