Individual
MAZEN BASSAM OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.165907
IL
2084P0800X
Psychiatry Physician
317497
NC
2084P0800X
Psychiatry Physician
Primary
MD.41948
AL
2084P0800X
Psychiatry Physician
V8509
TX
Other
Enumeration date
03/28/2019
Last updated
08/05/2025
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