Hatim A Omar, MD | |
740 S Limestone, Lexington, KY 40536-0001 | |
(859) 323-5481 | |
Not Available |
Full Name | Hatim A Omar |
---|---|
Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 740 S Limestone, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891712220 | NPI | - | NPPES |
64346307 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 34630 (Kentucky) | Secondary |
2080A0000X | Pediatrics - Adolescent Medicine | MD055065L (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
---|---|
Hatim A Omar, MD 2100 Mack Blvd, Allentown, PA 18103-5622 Ph: (484) 884-0617 | Hatim A Omar, MD 740 S Limestone, Lexington, KY 40536-0001 Ph: (859) 323-5481 |
Preeti Ramachandran, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St Fl Ha4, Lexington, KY 40536 Phone: 859-323-6754 Fax: 859-323-6754 | |
Robin L Feese, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1780 Nicholasville Rd, Ste 301, Lexington, KY 40503 Phone: 859-277-6636 Fax: 859-277-1455 | |
Dr. Mina Hazem Halim Hanna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Rose St # Ms 471, Lexington, KY 40536 Phone: 248-854-3120 Fax: 859-323-8031 | |
Jacob A Bishop, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 245 Fountain Ct, Lexington, KY 40509 Phone: 859-323-6861 | |
Donna Glandon Grigsby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5481 | |
Dr. John Charles Vance, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1760 Nicholasville Rd, Suite 406, Lexington, KY 40503 Phone: 859-276-1221 Fax: 859-278-0047 | |
Dr. Kimberly Renee Dennis Northrip, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 740 S Limestone, J426, Lexington, KY 40536 Phone: 859-323-6426 |