Organization
CARDIASPACE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAJD IBRAHIM MD (CEO)
(248) 890-2909
Entity
Organization
Contact information
Practice address
50 W BROADWAY STE 300, SALT LAKE CTY, UT 84101-2044
(801) 738-8938
Mailing address
50 W BROADWAY STE 300, SALT LAKE CTY, UT 84101-2044
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
10/26/2022
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