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Dr. Mazen M Ibrahim
Family Medicine Physician in Charlestown, Indiana
NPI 1952370710

Mazen M Ibrahim is a Family Medicine Physician based in Charlestown, IN. Mazen M Ibrahim practices in Charlestown, IN. The NPI Number for Mazen M Ibrahim is 1952370710 and holds a License No. 01028371A (Indiana).

The current practice location address for Mazen M Ibrahim is 9423 Highway 403, Charlestown, IN and can be reached out via phone at 812-256-6388 and via fax at 812-256-0475.

Location: 9423 Highway 403, Charlestown, IN, 47111-9664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952370710
Provider Name
Mazen M Ibrahim
Credential
Provider Entity Type
Individual
Gender
Male
Address
9423 Highway 403, Charlestown, IN, 47111-9664
Phone Number
812-256-6388
Fax Number
812-256-0475
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100075220 05 IN
000000042374 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
9423 Highway 403
City
Charlestown
State
Indiana
Zip
47111-9664
Phone Number
812-256-6388
Fax Number
812-256-0475
person
Provider Business Mailing Address Details
Address
9423 Highway 403
City
Charlestown
State
Indiana
Zip
47111-9664
Phone Number
812-256-6388
Fax Number
812-256-0475
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01028371A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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