IBRAHIM J. DOMIAN MD PHD – NPI #1194798389
Internal Medicine

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.

IBRAHIM DOMIAN is a physician located in BOSTON, MA. NPPES has assigned the NPI number 1194798389 to IBRAHIM DOMIAN on February 09, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 13 years ago on Feb 12, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IBRAHIM DOMIAN below.

NPI Profile for
IBRAHIM J. DOMIAN

NPI Number
1194798389
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
IBRAHIM J. DOMIAN
Credentials
MD PHD
Primary location
55 FRUIT ST
YAW 5A
BOSTON, MA 02114
Phone: (617) 726-7400 Fax: (617) 726-4149
Mailing address
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN, MA 02129-9142
Phone: (617) 724-6750 Fax: (617) 726-2894
Sole Proprietor
No
Updated
Identifiers

Identifiers for IBRAHIM DOMIAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA110079565/A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MA 216366
207R00000X
- Internal Medicine
MA 216366

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.