IBRAHEAM MOHAMMED

FORT WAYNE, IN
NPI1346814761
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  02007837A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-19
Last Update Date2024-09-09
Business Address
IBRAHEAM MOHAMMED
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-478-4206
Mailing Address
IBRAHEAM MOHAMMED
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-478-4206