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DR. IBRAHIM J DOMIAN MD PHD
NPI 1194798389
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since February 09, 2006
55 FRUIT ST, YAW 5A, BOSTON, MA 02114(617) 726-7400(617) 726-4149 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ibrahim J Domian Md Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IBRAHIM J DOMIAN MD PHD (NPI 1194798389) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (216366) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1194798389
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. IBRAHIM J DOMIANCredential: MD PHD
Location Address55 FRUIT ST, YAW 5ABoston, MA 02114
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 724-6750 · Fax (617) 726-2894
Phone(617) 726-7400
Fax(617) 726-4149
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1194798389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 216366
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 216366 (MA)
55 FRUIT ST, Boston, MA 02114
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Other Identifiers 2

Medicare PIN0006106MA
Medicaid110079565/AMA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ibrahim Domian's NPI number?

The NPI number for Ibrahim Domian is 1194798389. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Ibrahim Domian located?

Ibrahim Domian practices at 55 Fruit St Yaw 5A, Boston, MA 02114. The listed phone number is (617) 726-7400.

What is Ibrahim Domian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Ibrahim Domian was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.