Individual
OMAR A IBRAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2777 SUMMER ST STE 600, STAMFORD, CT 06905-4323
(203) 428-4440
(901) 221-4916
Mailing address
2777 SUMMER ST STE 600, STAMFORD, CT 06905-4323
(203) 428-4440
(203) 890-9449
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
L-232692
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
049530
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508061128
—
CT
Enumeration date
06/15/2007
Last updated
05/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us