Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073984985 Individual Practitioner Male Practitioner

Ibrahim Azrag

Driver • Antioch, TN

Professional Overview & Biography Verified Profile Summary

Ibrahim Azrag is a registered healthcare professional specializing in Driver in Antioch, TN. Practice services are available at 3120 SHADY TREE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3120 Shady Tree Ln

Antioch, TN 370132482

Telephone 6155853778
Fax 2068884011

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Antioch, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Antioch, TN (187 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License TN 189601

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 19, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2015

Registered at 3120 SHADY TREE LN, ANTIOCH, TN 370132482 (Tel: 6155853778)

📍
Updated Business Mailing Address October 19, 2015

Registered at 3120 SHADY TREE LN, ANTIOCH, TN 370132482 (Tel: 6155853778)

👤
Provider Name / Credentials Updated October 19, 2015

Recorded as IBRAHIM AZRAG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2015

Driver (License #189601 in TN)

🟢
Initial NPI Registration & Enumeration October 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073984985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2015
Last Update: October 19, 2015
Sole Proprietor: Yes

Mailing Address

3120 Shady Tree Ln

Antioch, TN 370132482

Phone: 6155853778

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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