Omballi, Mohamed A
Omballi, Mohamed A is an individual health care provider with primary practice located at 1325 Conference Dr , Toledo OH 43614-8009. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Omballi, Mohamed A can be contacted via phone (419) 383-6644.Contact Information
Primary practice address
1325 Conference Dr
Toledo OH 43614-8009
Phone: (419) 383-6644
Fax: (419) 383-2924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.205534 | Louisiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME139906 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME139906 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 55410 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | Q9220 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD.205534 | Louisiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35.140884 | Ohio |
Profile Details
| NPI number | 1184867996 |
|---|---|
| LBN Legal business name | Omballi, Mohamed A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2009 |
| Last updated | Mar 18th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184867996 | NPPES |
| Ohio | MEDICAID | 0433282 | |
| Ohio | MEDICAID | 1184867996 |
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