Organization
ONR 21 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR RAHAL MD (OWNER)
(313) 442-3574
Entity
Organization
Contact information
Practice address
24825 MICHIGAN AVE STE B, DEARBORN, MI 48124-1758
(313) 565-3365
Mailing address
24825 MICHIGAN AVE STE B, DEARBORN, MI 48124-1758
(313) 565-3365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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