Ibrahim, Fadi

Ibrahim, Fadi is an individual health care provider with primary practice located at 7550 Wolf River Blvd Ste 200 , Germantown TN 38138-1778. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Ibrahim, Fadi can be contacted via phone (901) 542-6845.

Contact Information

Primary practice address
7550 Wolf River Blvd Ste 200 Germantown TN 38138-1778
Phone: (901) 542-6845
Fax: (901) 542-6890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 40377 Tennessee
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 40377 Tennessee
Other Service Providers / Specialist 174400000X A93586 California
Other Service Providers / Specialist 174400000X 22149 West Virginia
Other Service Providers / Specialist 174400000X 0101237736 Virginia
Other Service Providers / Specialist 174400000X 01061271 A Indiana
Other Service Providers / Specialist 174400000X 4301085213 Michigan

Profile Details

NPI number 1033159629
LBN Legal business name Ibrahim, Fadi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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