MEDICARE: MR. FAHAD OMAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301095161	MI
2	207R00000X	Internal Medicine Physician	036130984	IL
3	207R00000X	Internal Medicine Physician	R0293	TX
4	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	R0293	TX
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	R0293	TX
6	207RS0012X	Sleep Medicine (Internal Medicine) Physician	R0293	TX
7	207RS0012X	Sleep Medicine (Internal Medicine) Physician	4301095161	MI
8	207RP1001X	Pulmonary Disease Physician	R0293	TX

General Provider Information

NPI Number	:	1821227471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FAHAD OMAR MD

Provider Business Mailing Address
First Line	:	1512 N ZARAGOZA RD STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-8903
Country	:	US
Telephone Number	:	915-213-0900
Fax Number	:	915-271-4145

Provider Business Practice Location Address
First Line	:	5539 N MESA ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-5422
Country	:	US
Telephone Number	:	915-213-0900
Fax Number	:	915-351-6601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2009
Last Update Date	:	04/18/2025

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Directions to “ MR. FAHAD OMAR MD” Practice Location

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