Individual
DR. OMAR AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4772 NAVY RD STE A, MILLINGTON, TN 38053-1927
(901) 873-0930
(901) 873-0931
Mailing address
4772 NAVY RD STE A, MILLINGTON, TN 38053-1927
(901) 873-0930
(901) 873-0931
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD29190
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3850166
—
TN
Enumeration date
04/13/2006
Last updated
05/12/2021
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