Individual
DR. HAZIM IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7527 THOROUGHBRED DR APT 3D, FORT WAYNE, IN 46804
(440) 840-3692
Mailing address
7527 THOROUGHBRED DR APT 3D, FORT WAYNE, IN 46804-2362
(408) 403-6924
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001283A
IN
Other
Enumeration date
06/05/2015
Last updated
07/19/2018
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