Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ibrahim Azrag

Individual provider Driver · NPI 1073984985

Ibrahim Azrag is a Driver in Antioch, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2015
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Practice location Address checks out

3120 Shady Tree Ln
Antioch, TN 37013-2482
Phone: (615) 585-3778
Fax: (206) 888-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 189601 (TN)

Record details

NPI number1073984985
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 19, 2015
Last updated in NPPESOctober 19, 2015

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