Healthcare Provider Details

I. General information

NPI: 1548474570
Provider Name (Legal Business Name): OMAR AMER ARAIM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 S AKERS ST STE 120
VISALIA CA
93277-8306
US

IV. Provider business mailing address

820 S AKERS ST STE 120
VISALIA CA
93277-8306
US

V. Phone/Fax

Practice location:
  • Phone: 559-625-4118
  • Fax: 559-625-6004
Mailing address:
  • Phone: 559-625-4118
  • Fax: 559-625-6004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberA97867
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: