Search › Virginia › 122300000X
Mohamed Ibrahim
NPI 1659888717 · on the registry since 2018 · sole proprietor
Practice
- Address
- 18010 Jefferson Davis Highway
Ruther Glen, VA 22546 - Phone
- (804) 589-1491
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-10
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 Virginia