Individual
IBRAHIM ABDELBASIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5102 E PIEDMONT RD, APT 2225, PHOENIX, AZ 85044-8610
(480) 897-1684
Mailing address
5102 E PIEDMONT RD, APT 2225, PHOENIX, AZ 85044-8610
(480) 897-1684
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
344117
AHCCCS
AZ
Enumeration date
07/11/2008
Last updated
07/11/2008
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