Omar, Alaaeldin A

Omar, Alaaeldin A is an individual health care provider with primary practice located at 1611 Peach St , Erie PA 16501-2109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Omar, Alaaeldin A can be contacted via phone (814) 454-2891.

Contact Information

Primary practice address
1611 Peach St Erie PA 16501-2109
Fax: (814) 464-9480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD419696 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD419696 Pennsylvania

Profile Details

NPI number 1811976020
LBN Legal business name Omar, Alaaeldin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Oct 5th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811976020 NPPES
Pennsylvania MEDICAID 0019211760008
Pennsylvania Other 1701897

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