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Individual

MOHAMED KHALED IBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.B.B.CH

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-0328
(205) 934-4011
Mailing address
P O BOX 55310, BIRMINGHAM, AL 35249-1900
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L5852F
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/21/2022
Last updated
07/10/2023
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