Search › Georgia › 208M00000X
Ibraheem Innab, MD
NPI 1376048215 · on the registry since 2018
Practice
- Address
- 677 Church St Ne # 111
Marietta, GA 30060 - Phone
- (770) 793-7750
- Fax
- (770) 793-7755
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia