Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 0101244137 | VA |
N | 207RG0100X | Gastroenterologist | MD037456 | DC |
NPI | 1023277217 |
---|---|
Provider Name | Amira Zein El Abdin Ali Ibrahim |
First Address | Fishersville, VA 22939-0388 |
Second Address | Fishersville, VA 22939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 18/07/2019 |