Omar A Ibrahimi, MD, PHD | |
2777 Summer St Ste 600, Stamford, CT 06905-4323 | |
(203) 428-4440 | |
(901) 221-4916 |
Full Name | Omar A Ibrahimi |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 18 Years |
Location | 2777 Summer St Ste 600, Stamford, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508061128 | NPI | - | NPPES |
1508061128 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | L-232692 (Massachusetts) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 049530 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Omar A Ibrahimi Md Phd Llc | 0840448122 | 4 |
Entity Name | Omar A Ibrahimi Md Phd Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013263847 PECOS PAC ID: 0840448122 Enrollment ID: O20120911000419 |
Mailing Address | Practice Location Address |
---|---|
Omar A Ibrahimi, MD, PHD 999 Summer St, Ste 305, Stamford, CT 06905-5513 Ph: (203) 428-4440 | Omar A Ibrahimi, MD, PHD 2777 Summer St Ste 600, Stamford, CT 06905-4323 Ph: (203) 428-4440 |
Shimrat R Notik, MD Dermatology Medicare: Medicare Enrolled Practice Location: 999 Summer St, Ste 305, Stamford, CT 06905 Phone: 203-428-4440 Fax: 203-890-9449 | |
Rebecca Sarac, Dermatology Medicare: Medicare Enrolled Practice Location: 1250 Summer St, Stamford, CT 06905 Phone: 203-975-1112 | |
Dr. Elizabeth Gaines-cardone, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1290 Summer St, Suite 3600, Stamford, CT 06905 Phone: 203-325-3576 Fax: 203-325-4280 | |
Mr. Rhett James Drugge, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Glenbrook Rd, Unit 1c, Stamford, CT 06902 Phone: 203-324-5719 Fax: 203-323-7485 | |
Dr. Robin D Evans, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1275 Summer St Ste 101, Stamford, CT 06905 Phone: 203-323-5660 | |
Dr. Fern Ellen Mayer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 132 Morgan St, Stamford, CT 06905 Phone: 203-969-0123 Fax: 203-975-0760 | |
Dr. Saryna Putman Young, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 High Ridge Rd, Stamford, CT 06905 Phone: 475-400-9455 Fax: 952-209-9802 |