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Atif Ibrahim

Student in an Organized Health Care Education/Training Program in Tupelo, MS. Individual provider (NPI-1).

NPI number1336767938
StatusActive
Last updated in NPPESJun 30, 2022

Details

NPI
1336767938
Entity type
Individual (NPI-1)
Name
Atif Ibrahim
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 9, 2020
Certification date
Jun 23, 2022
Last updated
Jun 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

830 S Gloster St
Tupelo, MS 38801-4996

Phone 662-377-3000

Mailing address

North Mississippi Medical Center
830 S Gloster St,
Tupelo, MS 38801-4996

Phone 662-377-3000

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