Individual
DR. WALEED ABDUL IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 FLORIDA AVE, SUITE 200, MODESTO, CA 95350
(209) 577-3388
(209) 523-0764
Mailing address
1541 FLORIDA AVE, SUITE 200, MODESTO, CA 95350
(209) 577-3388
(209) 523-0764
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A77739
CA
Other
Enumeration date
06/26/2007
Last updated
03/19/2014
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