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Individual
OMAR MOHAMED HAMMOUDA
Active
Individual
OMAR MOHAMED HAMMOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
1236769
OR
363A00000X
Physician Assistant
Primary
1236769
—
Other
Enumeration date
03/31/2025
Last updated
01/09/2026
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