Massoud, Omar I

Massoud, Omar I is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Massoud, Omar I can be contacted via phone (205) 934-4011.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 46436 Wisconsin
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 51194 Minnesota

Profile Details

NPI number 1255382008
LBN Legal business name Massoud, Omar I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jun 7th, 2010 - about 14 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 1255382008 NPPES
Alabama Other 102I103373 MEDICARE
Alabama Other 051067823 MEDICARE
Alabama Other 000011354W MEDICARE
Alabama MEDICAID 34468900 MEDICARE
Alabama Other 03773767 MEDICARE
Alabama MEDICAID ENROLLED MEDICARE
Alabama MEDICAID 114043 MEDICARE

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