| Waleed Ibrahim M.d., Inc. | |
|
999 S Fairmont Ave Ste. 115 Lodi CA 95240-5100 | |
| (209) 334-7559 | |
| (209) 334-7459 |
| Full Name | Waleed Ibrahim M.d., Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 999 S Fairmont Ave, Lodi, California |
| Authorized Official Name and Position | Waleed Ibrahim (OWNER) |
| Authorized Official Contact | 2093347559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waleed Ibrahim M.d., Inc. 999 S Fairmont Ave Ste. 115 Lodi CA 95240-5100 Ph: (209) 334-7559 | Waleed Ibrahim M.d., Inc. 999 S Fairmont Ave Ste. 115 Lodi CA 95240-5100 Ph: (209) 334-7559 |
| NPI Number | 1376720813 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376720813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A77739 (California) | Primary |
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