| Samer Ibrahim, DO | |
| 
					41 Mall Rd, Burlington, MA 01805-1222  | |
| (781) 744-8000 | |
| Not Available | 
| Full Name | Samer Ibrahim | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Hematology | 
| Location | 41 Mall Rd, Burlington, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174054159 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 309339 (New York) | Secondary | 
| 207RH0000X | Internal Medicine - Hematology | 1013711 (Massachusetts) | Primary | 
| Entity Name | Lahey Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097  | 
| Entity Name | Lahey Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samer Ibrahim, DO 2 Delpha Ln, Chelmsford, MA 01824-4232 Ph: (978) 944-3891  | Samer Ibrahim, DO 41 Mall Rd, Burlington, MA 01805-1222 Ph: (781) 744-8000  | 
Joseph E Dubin,  Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd., Lahey Clinic, Burlington, MA 01805 Phone: 781-744-7000 Fax: 781-744-5378  | |
Sahoor Khan,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000  | |
Fnu Kaleemullah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000  | |
Kristen M Robson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8699 Fax: 781-744-5276  | |
Syed Kashif Mahmood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000  | |
Eric Scott Kerns, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Road, Lahey Hospital & Medical Center, Burlington, MA 01805 Phone: 781-744-8430 Fax: 781-744-5397  | |
Neethi Rebekah Dasu, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000  |