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Ibrahim Azrag — NPI 1073984985, Antioch, TN | NPI Central

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NPI 1073984985

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Ibrahim Azrag

NPI 1073984985 · Driver · Antioch, TN

Provider details

NPI number: 1073984985
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 189601 (TN)

Specialties & taxonomies

DriverPrimary172A00000XLicense 189601 (TN)
Other Service Providers

Practice location

3120 Shady Tree Ln

Antioch, TN 37013-2482

Phone: (615) 585-3778

Fax: (206) 888-4011

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

3120 Shady Tree Ln

Antioch, TN 37013-2482

Registry dates

Enumerated: 2015-10-19
Last updated: 2015-10-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.