ALI HASAN EBRAHIM

LEES SUMMIT, MO
NPI1003344656
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: MO  2022003405)
Enumeration Date2017-05-26
Last Update Date2025-11-14
Business Address
Mr. ALI HASAN EBRAHIM M.D.
901 SW DRAKE DR
LEES SUMMIT, MO 64082-4800
Phone number: 313-949-5894
Mailing Address
Mr. ALI HASAN EBRAHIM M.D.
1602 N 2ND ST
CLINTON, MO 64735-1192
Phone number: 660-885-5511