# OSAMA HASSAN OMAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639104318
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 210778-1 | NY | — |
| 207W00000X | Ophthalmology Physician | G83074 | CA | — |
| 207W00000X | Ophthalmology Physician | ME79154 | FL | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 04/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 011492200 | — | FL |
| 01 | — | 58674 | BCBS ID | FL |