Omar Mudallal

  • NPI 1023369097
According to our database, the NPI number for Omar Mudallal is 1023369097 and activated since 11 years ago. Omar Mudallal is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 400 Maple Summit Rd, Jerseyville, IL 62052. You can also contact Omar Mudallal via telephone number is (618) 498-6402. Provider NPI information was last updated on 05/29/2019.

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Overview of Omar Mudallal

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/30/2012
  • Last updated: 05/29/2019

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 7901 Broadway
    Elmhurst, NY 11373
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 400 Maple Summit Rd
    Jerseyville, IL 62052
  • Phone: 618-498-6402
  • Fax: 618-498-8439

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 036147331
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Omar Mudallal?
  • A: The npi number for Omar Mudallal is 1023369097.
  • Q: What are Omar Mudallal's specialties?
  • A: Omar Mudallal's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Omar Mudallal?
  • A: The medical license number for Omar Mudallal is unknow and issued in unknow in USA.
  • Q: Where is Omar Mudallal practice location?
  • A: Omar Mudallal is practicing at 400 Maple Summit Rd, Jerseyville, IL 62052.
  • Q: How to contact Omar Mudallal?
  • A: You can contact Omar Mudallal via 618-498-6402.
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