Individual
MOHAMMAD TAHA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
DR.0068079
CO
2085R0202X
Diagnostic Radiology Physician
DR.0068079
CO
2085R0202X
Diagnostic Radiology Physician
Primary
U1513
TX
2085R0204X
Vascular & Interventional Radiology Physician
DR.0068079
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
08/15/2024
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