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Individual

MALIK IBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(913) 502-1000
(903) 502-2370
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 875-8618
(615) 322-5048

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
40529
TN
2084N0400X
Neurology Physician
43803
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1527674
TN
Enumeration date
05/18/2006
Last updated
04/29/2026
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