Atwaibi, Mohamed Omar

Atwaibi, Mohamed Omar is an individual health care provider with primary practice located at 200 Madison Ave Suite 2C, Elmira NY 14901-3218. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Atwaibi, Mohamed Omar can be contacted via phone (607) 737-4339.

Contact Information

Primary practice address
200 Madison Ave Suite 2C Elmira NY 14901-3218
Phone: (607) 737-4339
Fax: (607) 737-1519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21691 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 277637 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 277637 New York

Profile Details

NPI number 1558590067
LBN Legal business name Atwaibi, Mohamed Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2009
Last updated Sep 2nd, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558590067 NPPES
New York MEDICAID 04013892
New York Other J400316995

Popular Providers