Individual
AZADA IBRAHIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
35.144972
OH
390200000X
Student in an Organized Health Care Education/Training Program
MT208574
PA
Other
Enumeration date
07/10/2015
Last updated
09/12/2022
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