Ahmad, Omar Rizwan

Ahmad, Omar Rizwan is an individual health care provider with primary practice located at 1200 W Deyoung , Marion IL 62959. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Ahmad, Omar Rizwan can be contacted via phone (618) 993-5686.

Contact Information

Primary practice address
1200 W Deyoung Marion IL 62959
Phone: (618) 993-5686
Fax: (618) 997-6250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 036127128 Illinois
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 2011014874 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35.09823 Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036127128 Illinois

Profile Details

NPI number 1205952249
LBN Legal business name Ahmad, Omar Rizwan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Apr 10th, 2017 - about 8 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 1205952249 NPPES
Illinois MEDICAID 036127128

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