Atiq, Osman Omar
Atiq, Osman Omar is an sole proprietor health care provider with primary practice located at 11234 Anderson St Dept Of , Loma Linda CA 92354-2804. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Atiq, Osman Omar can be contacted via phone (909) 558-4000.Contact Information
Primary practice address
11234 Anderson St Dept Of
Loma Linda CA 92354-2804
Phone: (909) 558-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | A179232 | California |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A179232 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A179232 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E-14140 | Arkansas |
Profile Details
| NPI number | 1720540347 |
|---|---|
| LBN Legal business name | Atiq, Osman Omar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2019 |
| Last updated | Aug 4th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720540347 | NPPES |
| Arkansas | MEDICAID | 233001795 |
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