Individual provider · Type 1 NPI

Mian A. Ibrahim, MD

Diagnostic Radiology Physician · Lafayette, LA

NPI number 1124015508 Active

Practice location

1214 Coolidge Blvd
Lafayette, LA 70503-2621

Mailing address

PO Box 53127
Lafayette, LA 70505-3127

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X24548 (LA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1124015508

Mian A. Ibrahim, MD's National Provider Identifier is 1124015508, issued on Sep 30, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lafayette, LA. The record was last updated on Jul 30, 2008.