Ibrahim Mohammad Abu Dayah, MD
Internal Medicine in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1306368667
StatusActive
Last updated in NPPESFeb 12, 2021
Details
- NPI
- 1306368667
- Entity type
- Individual (NPI-1)
- Name
- Ibrahim Mohammad Abu Dayah
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2017
- Certification date
- Feb 12, 2021
- Last updated
- Feb 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 83609 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
809 82nd PkwyMyrtle Beach, SC 29572-4607
Phone 843-692-1000 · Fax 843-692-1000
Mailing address
901 Sorano StMyrtle Beach, SC 29579-8028
Phone 862-245-3363
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