Active NPIIndividual provider

Samer Ibrahim, DO

Internal Medicine, Hematology in Burlington, Massachusetts

NPI Number1174054159
Practice location
41 Mall RD, Burlington, MA 01805-1222
Fax
—
Last updated
May 3, 2023

Samer Ibrahim is an Internal Medicine, Hematology based in Burlington, MA. Samer Ibrahim practices in Burlington, MA and has the professional credentials of DO. The NPI Number for Samer Ibrahim is 1174054159 and holds a License No. 309339 (NY). The current practice location address for Samer Ibrahim is 41 Mall RD, Burlington, MA 01805-1222 and can be reached out via phone at 781-744-8000.

Provider Profile Details

NPI Number
1174054159
Provider Name
Samer Ibrahim
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
41 Mall RD, Burlington, MA 01805-1222
Phone Number
781-744-8000
Primary Taxonomy
Internal Medicine, Hematology · 207RH0000X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2017
Last Update Date
May 3, 2023
Certification Date
May 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Burlington, MA 01805-1222
Zip
01805-1222
Phone Number
781-744-8000
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
2 Delpha Ln
Chelmsford, MA 01824-4232
City
Chelmsford
State
MA
Zip
01824-4232
Phone Number
978-944-3891

License Information

License Number (1)
309339
License State (1)
NY
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
1013711
License State (2)
MA
Taxonomy (2)
Internal Medicine, Hematology · 207RH0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samer Ibrahim, DO?

The NPI number of Samer Ibrahim, DO is 1174054159. It was assigned on March 22, 2017 and is currently active in the NPPES registry.

What is the specialty of Samer Ibrahim, DO?

Samer Ibrahim, DO is registered under the primary taxonomy Internal Medicine, Hematology (code 207RH0000X), licensed in NY under license number 309339.

Where does Samer Ibrahim, DO practice?

The practice location is 41 Mall RD, Burlington, MA 01805-1222. The office can be reached at 781-744-8000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174054159 directly on the NPPES registry website.

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