Search › District of Columbia › 374U00000X
Ibrahim Shobaloju
NPI 1619307162 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3100 Bruce Pl Se Apt 401
Washington, DC 20020 - Phone
- (202) 704-1628
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 251E00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-20
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 District of Columbia