Ibrahim J Domian in Boston - Cardiovascular Disease

Ibrahim J Domian - NPI 1194798389

Ibrahim J Domian is a Cardiovascular Disease in Boston, Massachusetts. Ibrahim J Domian practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Ibrahim J Domian is 1194798389. The last update date is 2013-02-12.

Ibrahim J Domian's current location address is 55 Fruit St, Boston, Massachusetts. You can contact this provider via phone number 6177267400 and fax number 6177264149. The mailing address for Ibrahim J Domian is 55 Fruit St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Ibrahim J Domian
Address 55 Fruit St, Boston, Massachusetts
Phone Number 6177267400
Fax Number 6177264149
Sole Proprietor N
Credentials MD PHD

NPI Number Detail

NPI Number 1194798389
Provider Enumeration Date 2006-02-09
Last Updated Date 2013-02-12

Provider Mailing Address Detail

Address 55 Fruit St
City Boston
State Massachusetts (MA)
Post Code 2114
Phone Number 6177267400
Fax Number 6177264149

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 216366
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110079565/A MA --

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FAQs about Ibrahim J Domian

What is the unique provider identifier assigned to Ibrahim J Domian?

The Ibrahim J Domian has been issued the NPI (National Provider Identifier) 1194798389 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Ibrahim J Domian's facilities are situated?

The facilities of Ibrahim J Domian are physically located at the following address: 55 Fruit St, Boston, MA, 2114.

What is Ibrahim J Domian's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ibrahim J Domian is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.

On what date did Ibrahim J Domian receive its 1194798389 assignment from the Centers for Medicare & Medicaid Services?

The Ibrahim J Domian was assigned its 1194798389 on 2006-02-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Ibrahim J Domian's information last updated?

The Ibrahim J Domian's information was last updated on 2013-02-12.

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