Omar A Ibrahimi
Dermatologist MOHS-Micrographic Surgeon
999 Summer St Ste 305
Stamford
, Connecticut 06905-5513
Omar A Ibrahimi
Dermatologist MOHS-Micrographic Surgeon
999 Summer St Ste 305
Stamford
, Connecticut 06905-5513
(203) 890-9449
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Omar A Ibrahimi
- 999 Summer St Ste 305
- Stamford, CT
- Zip : 06905-5513
- Fax : (203) 890-9449
- Phone : (203) 428-4440
Second Address
- Omar A Ibrahimi
- 999 Summer St Ste 305
- Stamford, CT
- Zip : 06905-5513
- Fax : (901) 221-4916
- Phone : (203) 428-4440
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | L-232692 | MA |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 049530 | CT |
National Provider Identifier
| NPI | 1508061128 |
|---|---|
| Provider Name | Omar A Ibrahimi |
| First Address | Stamford, CT 06905-5513 |
| Second Address | Stamford, CT 06905-5513 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2007 |
| Last Update Date | 03/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1508061128 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.