Individual provider · Type 1 NPI

Omar Ibrahim, MD

Student in an Organized Health Care Education/Training Program · Elizabeth, NJ

NPI number 1275336687 Active

Practice location

225 Williamson St
Elizabeth, NJ 07202-3625

Call (908) 994-5420 Map

Mailing address

18637 N 35th Pl
Phoenix, AZ 85050-3252

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275336687

Omar Ibrahim, MD's National Provider Identifier is 1275336687, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elizabeth, NJ. The record was last updated on Mar 31, 2025.