Individual
FATMA MOHAMED IBRAHIM SHABANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(816) 214-5548
Mailing address
1808 E BROADWAY APT 1E, COLUMBIA, MO 65201-5874
(573) 268-1614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025013533
MO
Other
Enumeration date
06/04/2025
Last updated
06/09/2025
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