Individual
BADR IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 WELCH RD, PALO ALTO, CA 94304-1611
(650) 505-8221
Mailing address
801 WELCH RD, PALO ALTO, CA 94304-1611
(650) 724-1745
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A163434
CA
Other
Enumeration date
08/31/2019
Last updated
08/31/2019
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