Shalaby, Ibrahim F

Shalaby, Ibrahim F is an individual health care provider with primary practice located at 1702 E Lamar Alexander Pkwy , Maryville TN 37804-6204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shalaby, Ibrahim F can be contacted via phone (865) 980-5370.

Contact Information

Primary practice address
1702 E Lamar Alexander Pkwy Maryville TN 37804-6204
Phone: (865) 980-5370
Fax: (865) 980-5352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27980 Tennessee

Profile Details

NPI number 1790862803
LBN Legal business name Shalaby, Ibrahim F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 19th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790862803 NPPES
Tennessee MEDICAID 38204011

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