Individual
AYESHA IKRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BAPTIST SOUTH 2105 E SOUTH BLVD, MONTGOMERY, AL 36116
(334) 288-2100
Mailing address
2105 E SOOTH BLVD, MONTOGOMERY, AL 36116
(334) 288-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125077130
IL
Other
Enumeration date
06/02/2020
Last updated
07/03/2023
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