Individual
DR. TAREK IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, DEPT OF INTERNAL MEDICINE, SYRACUSE, NY 13210-2306
(315) 464-9335
Mailing address
750 E ADAMS ST DEPT OF, SYRACUSE, NY 13210-2306
(315) 464-9335
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MED-PHYS-LIC-79093
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2014
Last updated
07/21/2022
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