| 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 | 19 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 | 2 |
| 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 2777 Summer St Ste 600, Stamford, CT 06905-4323 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: Not Enrolled in Medicare Practice Location: 999 Summer St, Ste 305, Stamford, CT 06905 Phone: 203-428-4440 Fax: 203-890-9449 | |
Fatima Rauf Bawany, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2777 Summer St Ste 600, Stamford, CT 06905 Phone: 203-428-4440 | |
Rebecca Sarac, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1250 Summer St, Stamford, CT 06905 Phone: 203-975-1112 | |
Dr. Elizabeth Gaines-cardone, M.D. Dermatology Medicare: Medicare Enrolled 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: 260 Long Ridge Rd Ste 180, Stamford, CT 06902 Phone: 203-969-0123 Fax: 203-975-0760 |