Type 1 individualNPI 1407685621
MAZEN MOHAMED IBRAHIM IBRAHIM MD PHD
207XS0114X · VAIL, CO
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 207XS0114X | 207XS0114X | Primary |
| 207X00000X | 207X00000X | Additional |
| 207XP3100X | 207XP3100X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s