Individual
OMAR MOSTAFA ABUZEID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
297 W FRANCISCAN DR STE 104, CROWN POINT, IN 46307-4859
(219) 213-2280
(219) 213-2281
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01081995A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01081995A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028266
—
IN
Enumeration date
04/29/2015
Last updated
01/12/2024
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