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IBRAHIM AZRAG
NPI 1073984985
Driver in Antioch, TN

Active since October 19, 2015
3120 SHADY TREE LN, ANTIOCH, TN 37013(615) 585-3778(206) 888-4011 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ibrahim Azrag NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IBRAHIM AZRAG (NPI 1073984985) is an individual driver provider in Antioch, Tennessee, licensed in Tennessee (189601) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1073984985
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameIBRAHIM AZRAG
Location Address3120 SHADY TREE LNAntioch, TN 37013-2482
Mailing Address3120 Shady Tree LnAntioch, TN 37013-2482 · (615) 585-3778 · Fax (206) 888-4011
Phone(615) 585-3778
Fax(206) 888-4011
Sole ProprietorYes
Enumeration DateOctober 19, 2015
✔ NPI 1073984985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in TN · 189601
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
3120 SHADY TREE LN, Antioch, TN 37013
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Other Names 1

Former Name (1)Ibrahim Silik Azrag

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ibrahim Azrag's NPI number?

The NPI number for Ibrahim Azrag is 1073984985. It was assigned to this individual provider in the NPPES registry on October 19, 2015. The provider is also known as Ibrahim Silik Azrag.

Where is Ibrahim Azrag located?

Ibrahim Azrag practices at 3120 Shady Tree Ln, Antioch, TN 37013. The listed phone number is (615) 585-3778.

What is Ibrahim Azrag's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Ibrahim Azrag was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.