NPI 1508061128 · live from the CMS NPI Registry
Omar A Ibrahimi, MD, PHD
Dermatology, MOHS-Micrographic Surgery in Stamford, CT. National Provider Identifier 1508061128, active.
NPI record
| NPI | 1508061128 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 2777 Summer St Ste 600, Stamford, CT 06905 |
| Practice phone | 203-428-4440 |
| Enumerated | June 15, 2007 |
| Last updated | May 13, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | L-232692 (MA) |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | 049530 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.