Omer, Dara
Omer, Dara is an individual health care provider with primary practice located at 12040 Ne 128Th St , Kirkland WA 98034-3013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Omer, Dara can be contacted via phone (425) 899-1800.Contact Information
Primary practice address
12040 Ne 128Th St
Kirkland WA 98034-3013
Phone: (425) 899-1800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60854439 | Washington |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD60854439 | Washington |
Profile Details
NPI number | 1124380324 |
---|---|
LBN Legal business name | Omer, Dara |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2012 |
Last updated | Sep 11th, 2018 - about 7 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 | 1124380324 | NPPES |
Washington | Other | 0394145 | LNI-RADIA REST OF WA |
Washington | Other | 0394153 | LNI-RADIA REST OF WA |
Washington | Other | 0394150 | LNI-RADIA REST OF WA |
Washington | MEDICAID | 2103784 | LNI-RADIA REST OF WA |
Washington | Other | 0394151 | LNI-RADIA REST OF WA |
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