# AHMED KHALID AL-OMARI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962718494
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZD0900X | Dermatopathology (Pathology) Physician | 01077395A | IN | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 01077395A | IN | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | CSP0050443 | CT | — |
| 208600000X | Surgery Physician | 4301096192 | MI | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 08/22/2010
- **Last updated:** 05/08/2025