Individual
MOFID KHALIL-IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 887-4093
Mailing address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 887-4600
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
211652
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01971897
—
NY
Enumeration date
12/14/2006
Last updated
04/09/2010
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