OrganizationActive
Omar a Ibrahimi MD PHD LLC
NPI 1013263847 · MOHS-Micrographic Surgery Physician · Stamford, CT
Provider details
- NPI number
- 1013263847
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omar Ibrahimi, Owner(203) 428-4440
- License
- 049530 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2777 Summer St Ste 600
Stamford, CT 06905-4323
Phone: (203) 428-4440
Fax: (901) 221-4916
Approximate (ZIP-level) locationGet directions
Mailing address
2777 Summer St Ste 600
Stamford, CT 06905-4323
Other names (DBA / former)
- Doing business as
- Connecticut Skin Institute
Additional practice locations (1)
- 60 Commerce Park Ste CMilford, CT 06460-3513Phone: (203) 428-4440Fax: (901) 221-4916
Registry dates
- Enumerated
- 2012-07-30
- Last updated
- 2023-06-11
- Certified
- 2023-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.