Individual
IBRAHIM VALDES-MORRIS
Active
Individual
IBRAHIM VALDES-MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39868
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000475573
ANTHEM
KY
01
—
000000513190
ANTHEM BCBS
KY
05
—
64120678
—
KY
01
—
P00471570
RAILROAD MEDICARE
KY
Enumeration date
05/04/2006
Last updated
02/11/2011
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