Healthcare Provider Details

I. General information

NPI: 1609568526
Provider Name (Legal Business Name): SARAH MOHAMED OMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14090 HG TRUEMAN RD STE 2100
SOLOMONS MD
20688-3151
US

IV. Provider business mailing address

14090 HG TRUEMAN RD STE 2100
SOLOMONS MD
20688-3151
US

V. Phone/Fax

Practice location:
  • Phone: 410-394-3712
  • Fax: 410-394-3714
Mailing address:
  • Phone: 410-394-3712
  • Fax: 410-394-3714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0108090
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: