IndividualActive
Abrahim Imam
NPI 1427637644 · Family Medicine Physician · Tupelo, MS
Provider details
- NPI number
- 1427637644
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1665 S Green St
Tupelo, MS 38804-6556
Phone: (662) 377-2189
Fax: (662) 377-2667
Approximate (ZIP-level) locationGet directions
Mailing address
1665 S Green St
Tupelo, MS 38804-6556
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.