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1144403999
IBRAHIM SHATAT
CHARLESTON, SC
NPI
1144403999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0210X Pediatrics, Pediatric Nephrology
(Licence: SC TL30425)
Enumeration Date
2007-12-14
Last Update Date
2007-12-14
Business Address
-- IBRAHIM SHATAT MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
-- IBRAHIM SHATAT MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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