Individual
MR. OMAR ABDUL QAYYUM HASNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 203-9600
(260) 739-6167
Mailing address
10351 DAWSONS CREEK BLVD, SUITE A-1, FORT WAYNE, IN 46825-1904
(260) 203-9600
(260) 739-6167
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004000A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000816146
ANTHEM BCBS
IN
05
—
201112190
—
IN
Enumeration date
04/28/2009
Last updated
09/24/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us