Individual
DR. IBRAHIM A HAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5121 S COTTONWOOD ST # 100, MURRAY, UT 84107-5701
(801) 507-7400
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9720924-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9720924-1205
MEDICAL LICENSE
UT
Enumeration date
03/23/2012
Last updated
03/07/2023
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