Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ibrahim Ahmad Tangoren, MD

Individual provider Dermatology Physician · NPI 1770578601

Dr. Ibrahim Ahmad Tangoren, MD is a Dermatology in Syracuse, New York. Graduated from Perelman School of Med at the University of Pennsylvania in 1995, 31 years ago. Practices with Ia Tangoren MD PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2949 Erie Blvd E
Syracuse, NY 13224-1460
Phone: (315) 579-9037
Fax: (315) 424-1779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 209386 (NY)

Record details

NPI number1770578601
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 16, 2005
Last updated in NPPESOctober 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 1995 (31 years in practice)
Group practice Ia Tangoren Md Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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