Individual
OMAR METWALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-8300
Mailing address
24224 JOY RD, STE 101, REDFORD, MI 48239-1215
(510) 437-4141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
138074
CA
207R00000X
Internal Medicine Physician
Primary
226166
AK
207R00000X
Internal Medicine Physician
4301114008
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138074
CA LICENSE
CA
01
—
4301114008
MI LICENSE
MI
Enumeration date
03/26/2014
Last updated
09/17/2025
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