Individual provider · NPI-1

Ibrahim Taha Aldoss, M.D.

Internal Medicine, Hematology · Duarte, CA

NPI number1861692485
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1861692485
Entity type
Individual (NPI-1)
Name
Ibrahim Taha Aldoss
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 21, 2007
Certification date
Oct 28, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RH0000X Internal Medicine, HematologyA11706CAYes
207R00000X Internal Medicine5582NE
207RH0003X Internal Medicine, Hematology & OncologyA111706CA
208M00000X HospitalistA111706CA

Practice location

1500 E. Duarte Rd.
Department Of Hematology & Hct
Duarte, CA 91010-3012

Phone 626-256-4673

Mailing address

Po Box 512185
Los Angeles, CA 90051-0185

Phone 626-775-3514 · Fax 626-408-3911

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