Individual
DR. OMAR RIZWAN AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 W DEYOUNG, MARION, IL 62959
(618) 993-5686
(618) 997-6250
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036127128
IL
207W00000X
Ophthalmology Physician
35.09823
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036127128
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
2011014874
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127128
—
IL
05
—
1205952249
—
MO
Enumeration date
03/21/2007
Last updated
04/03/2026
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