ESAM IBRAHIM NPI 1316322159

NPI Information

Esam Ibrahim is a non emergency medical transport van in Jackson, TN. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. Esam Ibrahim NPI is 1316322159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2021 N.HIGHLAND AVE
JACKSON, TN
ZIP 38305
Phone: (615) 506-9028

The enumeration date for this NPI number is 7/22/2015 and was last updated on 7/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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