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

Abrahim Imam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427637644

Abrahim Imam is a Family Practice in Tupelo, Mississippi. Qualified in 2021, 5 years ago. Practices with Osama Elshazly MD PA, a 2-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
5
Licensed in
AL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1665 S Green St
Tupelo, MS 38804-6556
Phone: (662) 377-2189
Fax: (662) 377-2667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO.3848 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427637644
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address1665 S Green St, Tupelo, MS 38804-6556

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Osama Elshazly Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tupelo