Individual
ASHLEY ANNE IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 491-6350
Mailing address
4800 W COPPERFIELD DR, MUNCIE, IN 47304-8001
(765) 546-0868
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01073949A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/16/2011
Last updated
09/14/2023
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