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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ESAM IBRAHIM

Active Sole Proprietor

Bus · JACKSON, TN

Registration Details

NPI Number
1316322159
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2015 (10.749485454122 yrs)
Last Updated
Jul 22, 2015
License
2016 84394 (TN)
Sole Proprietor
Yes

Practice Information

Address
2021 N.HIGHLAND AVE
JACKSON, TN, 38305
Browse TN providers · Browse ZIP 38305
Phone
6155069028
Primary Specialty
Bus
343900000X

Other Bus Providers in JACKSON, TN

Name Credential NPI
MR. GREGORY ALLEN SEALS 1750613063
MR. MICHAEL CHERRY 1184937237
LEE WILKES 1366846362
PHYLLIS DENISE MANN 1871095737
ANWAR ABDALNOUR 1154968048
KYLE AMAWI 1154183432
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.