ABRAHIM IMAM

TUPELO, MS
NPI1427637644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  DO.3848)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-05
Last Update Date2024-10-30
Business Address
ABRAHIM IMAM
1665 S GREEN ST
TUPELO, MS 38804-6556
Phone number: 662-377-2189
Mailing Address
ABRAHIM IMAM
1665 S GREEN ST
TUPELO, MS 38804-6556
Phone number: 662-377-2189