Dyara, Omar

Dyara, Omar is an individual health care provider with primary practice located at 959 N Mayfair Rd , Wauwatosa WI 53226-3465. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Dyara, Omar can be contacted via phone (414) 955-3955.

Contact Information

Primary practice address
959 N Mayfair Rd Wauwatosa WI 53226-3465
Phone: (414) 955-3955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 69530 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20A15228 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 69530 Wisconsin

Profile Details

NPI number 1285077404
LBN Legal business name Dyara, Omar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Aug 7th, 2018 - about 6 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 1285077404 NPPES
Wisconsin MEDICAID 1285077404

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