IBRAHIM AZRAG
NPI 1073984985
Driver in Antioch, TN
Active since October 19, 2015
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
Other Names 1
Former Name (1)Ibrahim Silik Azrag
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073984985, enumerated as an "individual" on October 19, 2015.
The provider is located at 3120 SHADY TREE LN ANTIOCH, TN 37013 and the phone number is (615) 585-3778.
Driver with taxonomy code 172A00000X.
