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Contact Information

CHADI IBRAHIM, MD
275 E 200 S
SALT LAKE CITY, UT84111
 Phone: 202-779-5214
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CHADI IBRAHIM · (Male)

NPI # 1316322043
Status Active
Credentials MD
Entity Individual
Enumeration date 07/23/2015
Last updated 07/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 63989
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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