| Doctor Name: | OLUWAYEMISI IBRAHEEM |
| NPI Number: | 1649296039 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 53759 |
| Business Practice Address: | The Emory Clinic Inc 1365 Clifton Rd. Atlanta, GA - 303221013 |
| Business Phone Number: | 4047121868 |
| Business Fax Number: | |
| Mailing Address: | 4850 Outlook Rd, ELLENWOOD |
| State: | GA |
| Postal Code: | 302946596 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 53759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |