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Individual

DR. IBRAHIM R MADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6620 CRAIN HWY, STE 104, LA PLATA, MD 20646
(301) 934-2299
(301) 392-2119
Mailing address
6620 CRAIN HWY, STE 104, LA PLATA, MD 20646
(301) 934-2299
(301) 392-2119

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0032669
MD

Other

Enumeration date
01/31/2007
Last updated
04/10/2012
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