Provider Demographics
NPI:1750903928
Name:CENTRAL ALABAMA PRIMARY AND URGENT CARE ASSOCIATES
Entity type:Organization
Organization Name:CENTRAL ALABAMA PRIMARY AND URGENT CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-305-1454
Mailing Address - Street 1:9304 AUTUMN BROOKE WAY
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-0943
Mailing Address - Country:US
Mailing Address - Phone:516-305-1454
Mailing Address - Fax:
Practice Address - Street 1:9304 AUTUMN BROOKE WAY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-0943
Practice Address - Country:US
Practice Address - Phone:516-305-1454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty