Provider Demographics
NPI:1285925636
Name:OOMERJEE, EBRAHIM RASHID (MD)
Entity type:Individual
Prefix:MR
First Name:EBRAHIM
Middle Name:RASHID
Last Name:OOMERJEE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:STONY BROOK UNIVERSITY MEDICAL CENTER
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS HSC T-11 040
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8111
Mailing Address - Country:US
Mailing Address - Phone:631-444-2020
Mailing Address - Fax:631-444-2894
Practice Address - Street 1:STONY BROOK UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS HSC T-11 040
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8111
Practice Address - Country:US
Practice Address - Phone:631-444-2020
Practice Address - Fax:631-444-2894
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2024-05-10
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Provider Licenses
StateLicense IDTaxonomies
CAA132078208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics