DR. GIOVANNI IBRAHIM (NPI# 1922598093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922598093 |
| Entity Type | Individual |
| Full Name | DR. GIOVANNI IBRAHIM |
| Credential | DMD |
| Practice Address |
330 Orchard St New Haven CT 06511 |
| Mailing Address |
20 York St New Haven CT 06510-3220 |
| Practice Telephone | 2037893156 |
| Mailing Telephone | 2036889503 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2.012180-RES | CT | Dental Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 2.012180-RES | CT | Student, Health Care |
| Street Address |
330 ORCHARD ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094947 | Mark H Schoenfeld | Specialist | 330 Orchard St, Ste 210, New Haven, CT 06511-4429 | 2005-06-23 |
| 1164978003 | Arpita Neogi | Genetic Counselor, MS | 330 Orchard St, Suite 107, New Haven, CT 06511-4417 | 2016-08-31 |
| 1366718538 | Mei Xue Dong | Internal Medicine | 330 Orchard St, New Haven, CT 06511 | 2012-03-31 |
| 1770888125 | Jose Ramon Elbo Balingcongan | Physician Assistant | 330 Orchard St, New Haven, CT 06511-4417 | 2011-01-17 |
| 1306164512 | Elmer L. Valin, Md, LLC | Specialist | 330 Orchard St, Suite 111, New Haven, CT 06511-4417 | 2010-05-12 |
| 1437319019 | Eliza Fantarella | Podiatrist | 330 Orchard St, New Haven, CT 06511 | 2008-06-17 |
| 1932376878 | Cassandra L Gulden | Genetic Counselor, MS | 330 Orchard St, Ste 107, New Haven, CT 06511-4417 | 2008-05-09 |
| 1558557819 | Kalman L Watsky | Dermatology | 330 Orchard St, Suite 103, New Haven, CT 06511-4417 | 2007-09-20 |
| 1841495777 | Cardiothoracic Surgical Associates, P.C. | Internal Medicine | 330 Orchard St, Suite 107, New Haven, CT 06511-4417 | 2007-06-20 |
| 1194929612 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 330 Orchard St, Suite 101, New Haven, CT 06511-4417 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019689 | Mallori Wisuri | Student in an Organized Health Care Education/Training Program | 14505 Old 24 E, New Haven, IN 46774-9013 | 2020-06-27 |
| 1952920019 | Nazli Dizman | Student in an Organized Health Care Education/Training Program | 20 York St Tompkins 226, New Haven, CT 06510-3220 | 2020-04-09 |
| 1972132314 | Ross David Logan | Student in an Organized Health Care Education/Training Program | 20 York St Ste 226, New Haven, CT 06510-3220 | 2020-04-07 |
| 1194354043 | Christian Keene | Student in an Organized Health Care Education/Training Program | 625 Orange St Apt 43, New Haven, CT 06511-3840 | 2020-04-03 |
| 1639706146 | Kevin Jiang | Student in an Organized Health Care Education/Training Program | 330 Orchard St Ste 207, New Haven, CT 06511-4429 | 2020-03-25 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1275166407 | Joshua Braden | Student in an Organized Health Care Education/Training Program | 32277 Salt River Cir N, New Haven, MI 48048-3331 | 2020-02-17 |
| 1871125401 | Taylor Alexandra Babin | Student in an Organized Health Care Education/Training Program | 166 Hall St, New Haven, CT 06512-3148 | 2020-02-11 |
| 1952962649 | Su Jung Kim | Student in an Organized Health Care Education/Training Program | 111 Park St Apt 12t, New Haven, CT 06511-5421 | 2019-06-24 |
| 1144880691 | Durga Thakral | Student in an Organized Health Care Education/Training Program | 367 Cedar St Ste 317, New Haven, CT 06510-3222 | 2019-06-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.