Ahmad, Omar

Ahmad, Omar is an individual health care provider with primary practice located at 4772 Navy Rd Ste A , Millington TN 38053-1927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ahmad, Omar can be contacted via phone (901) 873-0930.

Contact Information

Primary practice address
4772 Navy Rd Ste A Millington TN 38053-1927
Phone: (901) 873-0930
Fax: (901) 873-0931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD29190 Tennessee

Profile Details

NPI number 1093779456
LBN Legal business name Ahmad, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated May 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093779456 NPPES
Tennessee MEDICAID 3850166

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