Healthcare Provider Details

I. General information

NPI: 1982549697
Provider Name (Legal Business Name): OTHMANE EL OMARI PM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 WINSFORD RD
TOWSON MD
21204-2707
US

IV. Provider business mailing address

1031 WINSFORD RD
TOWSON MD
21204-2707
US

V. Phone/Fax

Practice location:
  • Phone: 410-812-0078
  • Fax:
Mailing address:
  • Phone: 410-812-0078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number2055990
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: