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Individual

IBRAHIM M DAOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
95 WOODLAND ST FL 2, HARTFORD, CT 06105
(860) 714-6871
(860) 714-6888
Mailing address
95 WOODLAND ST FL 2, HARTFORD, CT 06105-1290
(860) 714-6871
(860) 714-6888

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
017793
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001177930
CT
01
010017793CT06
BCBS
CT
01
010017793CT07
BCBS ROCKYHILL
CT
01
010017793CT08
BCBS WETHERSFIELD
CT
01
010017793CT09
BCBS NEWINGTON
CT
01
202928529
UNITED HEALTHCARE
CT
01
2334262
CIGNA
CT
01
3962278
AETNA
CT
01
720239
CONNECTICARE
CT
01
P471096
OXFORD HEALTH PLAN
CT
Enumeration date
08/18/2006
Last updated
05/29/2018
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