Ibrahimi, Omar A

Ibrahimi, Omar A is an individual health care provider with primary practice located at 2777 Summer St Ste 600 , Stamford CT 06905-4323. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Ibrahimi, Omar A can be contacted via phone (203) 428-4440.

Contact Information

Primary practice address
2777 Summer St Ste 600 Stamford CT 06905-4323
Phone: (203) 428-4440
Fax: (901) 221-4916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X L-232692 Massachusetts
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 049530 Connecticut

Profile Details

NPI number 1508061128
LBN Legal business name Ibrahimi, Omar A
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Sep 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508061128 NPPES
Connecticut MEDICAID 1508061128

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