NPI 1316322043

Chadi Ibrahim, MD

Practitioner General Practice Physician Salt Lake City, UT

Practice location

Address: 275 E 200 S, Salt Lake City, UT 84111
Phone: (202) 779-5214
Mailing address: 275 E 200 S, Salt Lake City, UT 84111-2002

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 63989 (WI)

Other General Practice providers in Utah →

Registry record

NPI: 1316322043
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2015
Record last updated: 9 Jul 2018

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.