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Contact Information

IBRAHIM N. OUDEH MD PA
721 TILGHMAN DR
DUNN, NC28334
 Phone: 910-292-2070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IBRAHIM N. OUDEH MD PA

NPI Number 1073728259
LBN Legal business name IBRAHIM N. OUDEH MD PA
Authorized official IBRAHIM OUDEH - (DOCTOR OUDEH)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2007
Last updated 06/08/2021 - About 5 years ago
Identifiers
NC License # 34428
NC Medicaid 89011KY
NC Other 011KY GROUP BCBS NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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