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OMAR A IBRAHIMI MD PHD LLC NPI 1013263847


NPI Information

NPI: 1013263847
Provider Name: OMAR A IBRAHIMI MD PHD LLC

Doing Business As: CONNECTICUT SKIN INSTITUTE

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 07D2117686

Address:
2777 SUMMER ST STE 600
STAMFORD, CT
ZIP 06905
Phone: (203) 428-4440
Get Directions

OMAR A IBRAHIMI MD PHD LLC is a mohs-micrographic surgery dermatology in Stamford, CT. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. OMAR A IBRAHIMI MD PHD LLC NPI is 1013263847. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Connecticut Skin Institute.

The provider's business location address is:

2777 SUMMER ST STE 600
STAMFORD, CT
ZIP 06905-323
Phone: (203) 428-4440
Fax: (901) 221-4916

The provider's authorized official is Omar A Ibrahimi .
The authorized official title is Owner and has the following contact phone number (203) 428-4440.

The CLIA number assigned to this NPI record is 07D2117686 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/30/2012 and was last updated on 6/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic Surgery049530CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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