Individual
DR. OMAR ALI MOHAMMAD MAHASNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S COULTER ST, TTUHSC INTERNAL MEDICINE DEPARTMENT, AMARILLO, TX 79106-1786
(806) 354-5417
(806) 351-3787
Mailing address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7240
(618) 463-7216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q6537
TX
208M00000X
Hospitalist Physician
Primary
036.141503
IL
208M00000X
Hospitalist Physician
2016028028
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/02/2013
Last updated
02/05/2021
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