NPI 1033816236

Mohamed Ibrahim

Practitioner Transportation Broker Aurora, CO

Practice location

Address: 2195 S Joliet St, Aurora, CO 80014-1034
Phone: (720) 936-5606

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X Licence 11-314-0189 (CO)

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Registry record

NPI: 1033816236
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2023
Record last updated: 8 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.