Healthcare Provider Details

I. General information

NPI: 1538923180
Provider Name (Legal Business Name): OMAR SOLIMAN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 CARTER DR STE A
MIDDLETOWN DE
19709-5845
US

IV. Provider business mailing address

291 CARTER DR STE A
MIDDLETOWN DE
19709-5845
US

V. Phone/Fax

Practice location:
  • Phone: 844-365-7246
  • Fax: 844-516-0080
Mailing address:
  • Phone: 844-365-7246
  • Fax: 844-516-0080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0009918
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberC5-0012024
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: