Individual
IBRAHIM ELKHAWAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 DORCHESTER AVE RM 7039, BOSTON, MA 02124-5615
(502) 232-5956
Mailing address
5 CROWN DR UNIT 103, QUINCY, MA 02169-5490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
289311
MA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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