MEDICARE: DR. SABIHA JABEEN OMAR 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	2084P0800X	Psychiatry Physician	4301058505	MI
2	2084P0805X	Geriatric Psychiatry Physician	4301058505	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1058837	OTHER	MI	CIGNA
2	103488	OTHER	MI	VALUE OPTIONS
3	5904493	OTHER	MI	AETNA

General Provider Information

NPI Number	:	1841272259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SABIHA JABEEN OMAR M.D.

Provider Business Mailing Address
First Line	:	28592 ORCHARD LAKE RD
Second Line	:	SUITE 333
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-2961
Country	:	US
Telephone Number	:	248-865-7271
Fax Number	:	248-865-7274

Provider Business Practice Location Address
First Line	:	28592 ORCHARD LAKE RD
Second Line	:	SUITE 333
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-2961
Country	:	US
Telephone Number	:	248-865-7271
Fax Number	:	248-865-7274

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

Provider Enumeration Date	:	11/20/2005
Last Update Date	:	09/11/2025

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