OSAMA KHALIL ABDELAZIZ IBRAHIM
NPI 1205509585
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 31, 2021

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 27, 2024, Jul 31, 2021 (2 updates tracked since 2021).

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About Osama Khalil Abdelaziz Ibrahim NPPES

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

OSAMA KHALIL ABDELAZIZ IBRAHIM (NPI 1205509585) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Rhode Island (LP05307) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1205509585

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameOSAMA KHALIL ABDELAZIZ IBRAHIM

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address300 Longwood AveBoston, MA 02115-5724

Phone(617) 355-6000

Sole ProprietorNo

Enumeration DateJuly 31, 2021

Last NPPES UpdateJune 27, 20242 updates tracked since enumeration

NPPES CertifiedJune 27, 2024

✔ NPI 1205509585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in RI · LP05307

Definition

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.

300 LONGWOOD AVE, Boston, MA 02115

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