DR. NASRIEN EZZELDIN IBRAHIM (NPI# 1972765543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972765543 |
| Entity Type | Individual |
| Full Name | DR. NASRIEN EZZELDIN IBRAHIM |
| Credential | MD |
| Practice Address |
32 Fruit St Yawkey 5962 Boston MA 02114-2620 |
| Mailing Address |
32 Fruit Street, Yawkey 5962 Massachusetts General Hospital, Cardiology Division Boston MA 02114 |
| Practice Telephone | 6176430712 |
| Practice Fax Number | 6176430940 |
| Mailing Telephone | 6176430712 |
| Mailing Fax Number | 6176430940 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
263155 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
32 FRUIT ST YAWKEY 5962 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184697278 | Rebecca Suk Heist | Internal Medicine | 32 Fruit St, Yawkey 7b, Boston, MA 02114-2620 | 2006-02-09 |
| 1912534181 | Jill Pandiscio | Student in an Organized Health Care Education/Training Program | 32 Fruit St, Boston, MA 02114-2620 | 2020-03-26 |
| 1073962312 | Aarya Krishnan Rajalakshmi | Psychiatry & Neurology | 32 Fruit St, Boston, MA 02114 | 2016-06-07 |
| 1265881593 | Aditya Kumar Singh Pawar | Psychiatry & Neurology | 32 Fruit St, Boston, MA 02114-2620 | 2016-06-07 |
| 1295175131 | Martin W Vetter | Psychiatry & Neurology | 32 Fruit St, Yawkey Center - Suite 6a, Boston, MA 02114-2620 | 2013-06-25 |
| 1003158429 | Lauren Morris | Student in an Organized Health Care Education/Training Program | 32 Fruit St, Boston, MA 02114-2620 | 2013-03-24 |
| 1821339169 | Gayle C Blouin | Pharmacist | 32 Fruit St, Yawkey Building, 8th Floor Infusion Pharmacy, Boston, MA 02114-2620 | 2013-03-12 |
| 1578808853 | Paula Dacosta Cerqueira | Dietitian, Registered | 32 Fruit St, Yawkey 10b, Boston, MA 02114-2620 | 2012-11-28 |
| 1528320975 | Jessica Jiyeong Lin | Internal Medicine | 32 Fruit St, Yawkey 7b, Boston, MA 02114-2620 | 2012-06-12 |
| 1235374836 | Lisa M. Arcikowski | Nurse Practitioner | 32 Fruit St, Hematology/oncology, Boston, MA 02114-2620 | 2008-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386165470 | Malik Bilal Ahmed | Internal Medicine | 800 Washington Street Mailbox #315, Boston, MA 02111 | 2017-06-29 |
| 1760867667 | Chi Hong Chau | Internal Medicine | 400 Brookline Ave Apt 15a, Boston, MA 02215-5406 | 2015-07-21 |
| 1972916039 | Adam T Phillips | Internal Medicine | 185 Pilgrim Rd Fl Baker4, Boston, MA 02215 | 2014-06-06 |
| 1760809818 | Subhasree Panchangam | Internal Medicine | 830 Harrison Ave Bldg 3500, Boston, MA 02118-2905 | 2014-03-26 |
| 1124463609 | Gaurav Gulati | Internal Medicine | 800 Washington St # 315, Boston, MA 02111-1552 | 2013-05-09 |
| 1255600300 | Steward Medical Group, Inc | Internal Medicine | 500 Boylston St, Boston, MA 02116-3740 | 2011-12-19 |
| 1942586334 | Nina Ghosh | Internal Medicine | 75 Peterborough St, Suite 401, Boston, MA 02215-4311 | 2011-10-29 |
| 1841515509 | Chris Wei-sen Pan | Internal Medicine | 1597 Washington St, Apt 503, Boston, MA 02118-1915 | 2010-04-06 |
| 1730349853 | Gerald J. Doyle, M.d., P.C. | Internal Medicine | 3 Hawthorne Pl, Boston, MA 02114-2334 | 2008-06-12 |
| 1639369713 | Aram V Chobanian | Internal Medicine | Boston Univ. School of Med., 715 Albany Street, Boston, MA 02118 | 2007-07-26 |
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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.