Individual
DIAB S OMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7189
Mailing address
10400 75TH ST, AURORA MEDICAL CENTER-KENOSHA, KENOSHA, WI 53142-7884
(262) 948-5600
(262) 948-5109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012-01940
NC
207R00000X
Internal Medicine Physician
50811
WI
208M00000X
Hospitalist Physician
2012-01940
NC
Other
Enumeration date
01/23/2008
Last updated
05/08/2025
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