Iman Ibrahim MD PLLC
Internal Medicine in Alexandria, VA. Organization (NPI-2).
NPI number1669201752
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1669201752
- Entity type
- Organization (NPI-2)
- Legal business name
- Iman Ibrahim MD PLLC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2024
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
4320 Seminary RdAlexandria, VA 22304-1535
Phone 703-504-3000
Mailing address
Po Box 333Fairfax Station, VA 22039-0333
Phone 646-714-9310
Authorized official
Iman Mohamoud Ibrahim
Owner
6467149310
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