Omar, Bassam A.

Omar, Bassam A. is an individual health care provider with primary practice located at 2451 Fillingim St Bldg. C, Mobile AL 36617-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Omar, Bassam A. can be contacted via phone (251) 445-8242.

Contact Information

Primary practice address
2451 Fillingim St Bldg. C Mobile AL 36617-2238
Phone: (251) 445-8242
Fax: (251) 445-8250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18169 Alabama

Profile Details

NPI number 1073568895
LBN Legal business name Omar, Bassam A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 12th, 2015 - about 10 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 1073568895 NPPES
Mississippi MEDICAID 00126751
Mississippi Other 51513255
Mississippi MEDICAID 009908725
Mississippi Other 51513252
Mississippi MEDICAID 1165891
Mississippi Other 25-10824
Mississippi MEDICAID 009908705

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