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Individual

DR. EIAD OMRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 824-5063
(419) 824-0216
Mailing address
5800 MONROE ST STE E4, SYLVANIA, OH 43560-2206
(419) 824-5063
(419) 824-0216

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35084098
OH
207P00000X
Emergency Medicine Physician
35084098
OH
207P00000X
Emergency Medicine Physician
Primary
4301083765
MI
207R00000X
Internal Medicine Physician
4301083765
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000361855
ANTHEM
OH
05
2581611
OH
05
2595071
OH
Enumeration date
10/06/2006
Last updated
08/15/2019
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