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Moayed Ibrahim, MD
Student in an Organized Health Care Education/Training Program in Minot, North Dakota
NPI 1124400742

Moayed Ibrahim is a Student in an Organized Health Care Education/Training Program based in Minot, ND. Moayed Ibrahim practices in Minot, ND and has the professional credentials of MD. The NPI Number for Moayed Ibrahim is 1124400742 and holds a License No. 17816 (North Dakota).

The current practice location address for Moayed Ibrahim is 831 S Broadway, Minot, ND and can be reached out via phone at 701-857-3534 and via fax at 701-857-5171. You can also correspond with Moayed Ibrahim through the mailing address at PO BOX 5010, MINOT, ND - 58702-5010 (mailing address contact number: 701-418-8000).

Location: 831 S Broadway, Minot, ND, 58702-5010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124400742
Provider Name
Moayed Ibrahim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
831 S Broadway, Minot, ND, 58702-5010
Phone Number
701-857-3534
Fax Number
701-857-5171
Provider Enumeration Date
06/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
831 S Broadway
City
Minot
State
North Dakota
Zip
58701-4636
Phone Number
701-857-3534
Fax Number
701-857-5171
person
Provider Business Mailing Address Details
Address
831 S Broadway
City
Minot
State
North Dakota
Zip
58701-4636
Phone Number
701-857-3534
Fax Number
701-857-5171
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
17816 (North Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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