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NPI Code Detail

MEDICARE: NADER M. OMAR

MEDICARE: NADER M. OMAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianDR.0054082CO
2208M00000XHospitalist PhysicianDR.0054082CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01381222OTHERCORAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437457801
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADER M. OMAR
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 719-463-5600
Fax Number :
Provider Business Practice Location Address
First Line : 1707 COLE BLVD STE 100
Second Line :
City : GOLDEN
State : CO
Zip : 80401-3219
Country : US
Telephone Number : 303-763-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2011
Last Update Date : 03/20/2025

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Directions to “ NADER M. OMAR ” Practice Location

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