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NPI Code Detail

MEDICARE: OMER ALABEID OWNER

MEDICARE:   OMER  ALABEID  OWNER
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1962157073
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMER ALABEID OWNER
Provider Business Mailing Address
First Line : 2220 W MISSION LN APT 2004
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-2874
Country : US
Telephone Number : 602-585-8767
Fax Number :
Provider Business Practice Location Address
First Line : 2220 W MISSION LN APT 2004
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-2874
Country : US
Telephone Number : 602-585-8767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2022
Last Update Date : 03/02/2023

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Directions to “ OMER ALABEID OWNER” Practice Location

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