MEDICARE: YASSER OMRAN M.D.

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
1	207RI0200X	Infectious Disease Physician	35063171O	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110177262	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1821093071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASSER OMRAN M.D.

Provider Business Mailing Address
First Line	:	1261 WOOSTER RD
Second Line	:	STE 230
City	:	MILLERSBURG
State	:	OH
Zip	:	44654-1570
Country	:	US
Telephone Number	:	330-674-3434
Fax Number	:	330-674-3731

Provider Business Practice Location Address
First Line	:	1261 WOOSTER RD
Second Line	:	STE 230
City	:	MILLERSBURG
State	:	OH
Zip	:	44654-1570
Country	:	US
Telephone Number	:	330-674-3434
Fax Number	:	330-674-3731

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	03/13/2013

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Directions to “ YASSER OMRAN M.D.” Practice Location

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