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BENYAMIN Y EBRAHIM MD

>> Ophthalmology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1508024415

Individual Registrant:
 BENYAMIN Y EBRAHIM MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
522 BELL RD ANTIOCH EYE CARE CENTER, PHYSICIAN & SURGEON, PLLC ANTIOCH, TN 37013-2002 US
Tel: 615-361-7266  Fax: --

Contact information for business:
522 BELL RD ANTIOCH EYE CARE CENTER, PHYSICIAN & SURGEON, PLLC ANTIOCH, TN 37013-2002 US
Tel: 615-361-7266  Fax: --

Registration Information:
NPI: 1508024415
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
TN49780

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1531656TN05




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