Oommen, Brian Samuel

Oommen, Brian Samuel is an individual health care provider with primary practice located at 200 Hygeia Dr Ste 1420 , Newark DE 19713-2049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Oommen, Brian Samuel can be contacted via phone (302) 623-3017.

Contact Information

Primary practice address
200 Hygeia Dr Ste 1420 Newark DE 19713-2049
Phone: (302) 623-3017
Fax: (302) 266-9960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X C1-0024424 Delaware
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD448588 Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X MD448588 Pennsylvania

Profile Details

NPI number 1841425964
LBN Legal business name Oommen, Brian Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2009
Last updated Jan 31st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841425964 NPPES
Pennsylvania MEDICAID 102930083

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