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Individual

DR. EDWARD M. OMRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H., FCCP

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A105179
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
57533
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A105179
CA
207RP1001X
Pulmonary Disease Physician
A105179
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4718594
MI
Enumeration date
06/10/2005
Last updated
10/07/2025
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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