Ibrahim N. Oudeh MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34428 Issued in NC

Legal business name

IBRAHIM N. OUDEH MD PA

Practice address

721 Tilghman Dr
Dunn, NC 28334

Phone

(910) 292-2070

NPI assigned

May 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ibrahim N Oudeh, MD

Title

Doctor Oudeh

Phone

(910) 292-2070

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1073728259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TILGHMAN DR STE A",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344958",
            "telephone_number": "910-892-6500",
            "fax_number": "910-892-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "28334",
            "telephone_number": "910-292-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM N. OUDEH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "OUDEH",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DOCTOR OUDEH",
        "authorized_official_telephone_number": "910-292-2070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "34428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS NUMBER",
            "identifier": "011KY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011KY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Dunn, NC
• Providers in Dunn, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.