person
Abrahim Imam
Student in an Organized Health Care Education/Training Program in Tupelo, Mississippi
NPI 1427637644

Abrahim Imam is a Student in an Organized Health Care Education/Training Program based in Tupelo, MS. Abrahim Imam practices in Tupelo, MS. The NPI Number for Abrahim Imam is 1427637644 and holds a License No. (Mississippi).

The current practice location address for Abrahim Imam is 1665 S Green St, Tupelo, MS and can be reached out via phone at 662-377-2189 and via fax at 662-377-2667.

Location: 1665 S Green St, Tupelo, MS, 38804-6556
person
Provider Profile Details
NPI Number
1427637644
Provider Name
Abrahim Imam
Credential
Provider Entity Type
Individual
Gender
Male
Address
1665 S Green St, Tupelo, MS, 38804-6556
Phone Number
662-377-2189
Fax Number
662-377-2667
Provider Enumeration Date
04/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1665 S Green St
City
State
Zip
38804-6556
Phone Number
662-377-2189
Fax Number
662-377-2667
person
Provider Business Mailing Address Details
Address
1665 S Green St
City
State
Zip
38804-6556
Phone Number
662-377-2189
Fax Number
662-377-2667
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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