Healthcare Provider Details

I. General information

NPI: 1477868180
Provider Name (Legal Business Name): OMER MUHAMMAD TOOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MUHAMMAD OMER TOOR MD

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LAWN AVE STE 120
ELKHART IN
46514-2450
US

IV. Provider business mailing address

3245 HEALTH DR STE 100
GRANGER IN
46530-1380
US

V. Phone/Fax

Practice location:
  • Phone: 574-523-2733
  • Fax:
Mailing address:
  • Phone: 574-647-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number4301507713
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301507713
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number01072276A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125055690
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number4301507713
License Number StateMI
# 6
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01072276A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: