| Ali Mahomed Omar Physician, Pc | |
|
5 Renaissance Sq Ph 2e White Plains NY 10601-3042 | |
| (914) 837-1655 | |
| Not Available |
| Full Name | Ali Mahomed Omar Physician, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Renaissance Sq Ph 2e, White Plains, New York |
| Authorized Official Name and Position | Ali M Omar (PHYSICIAN) |
| Authorized Official Contact | 9148371655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Mahomed Omar Physician, Pc 5 Renaissance Sq Ph 2e White Plains NY 10601-3042 Ph: (914) 837-1655 | Ali Mahomed Omar Physician, Pc 5 Renaissance Sq Ph 2e White Plains NY 10601-3042 Ph: (914) 837-1655 |
| NPI Number | 1467999201 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/31/2017 |
| Medicare PECOS PAC ID | 0446536841 |
|---|---|
| Medicare Enrollment ID | O20170420000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467999201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125210 (New York) | Primary |
| Provider Name | Ali Mahomed Omar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316310188 PECOS PAC ID: 1355627753 Enrollment ID: I20170420000452 |
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