Search › Tennessee › 172A00000X
Ibrahim Azrag
NPI 1073984985 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3120 Shady Tree Ln
Antioch, TN 37013 - Phone
- (615) 585-3778
- Fax
- (206) 888-4011
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee