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Ibrahim Atiq
NPI 1154993947 · on the registry since 2021
Practice
- Address
- 16740 Hickory Crest Dr
Wildwood, MO 63011 - Phone
- (636) 675-9075
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-27
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 Missouri