Habib, Omar

Habib, Omar is an individual health care provider with primary practice located at 22201 Moross Rd Suite 356, Detroit MI 48236-2169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Habib, Omar can be contacted via phone (313) 343-7444.

Contact Information

Primary practice address
22201 Moross Rd Suite 356 Detroit MI 48236-2169
Phone: (313) 343-7444
Fax: (313) 343-7999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301074889 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X M7238 Texas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD60030929 Washington
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301074889 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 036.124511 Illinois

Profile Details

NPI number 1689873010
LBN Legal business name Habib, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Oct 27th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689873010 NPPES
Texas Other 8AP703 BLUE CROSS BLUE SHIELD
Texas MEDICAID 8519936 BLUE CROSS BLUE SHIELD

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