Badahman, Omer M
Badahman, Omer M is an individual health care provider with primary practice located at 4600 Memorial Dr Ste 200 , Belleville IL 62226-5363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Badahman, Omer M can be contacted via phone (618) 233-2220.Contact Information
Primary practice address
4600 Memorial Dr Ste 200
Belleville IL 62226-5363
Phone: (618) 233-2220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036102100 | Illinois |
Profile Details
| NPI number | 1851371231 |
|---|---|
| LBN Legal business name | Badahman, Omer M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Feb 5th, 2021 - about 4 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 | 1851371231 | NPPES |
| Illinois | MEDICAID | 036102100 | |
| Illinois | Other | 01932056 |
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