Individual
DANYAL IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-5155
Mailing address
22 LOOMIS DR, COVENTRY, CT 06238-6108
(860) 794-5886
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
043905
CT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01059581A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
043905
CT
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
043905
CT
Other
Enumeration date
09/20/2006
Last updated
06/16/2021
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