Individual
AHMAD OMAR BASHARMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 SALEM AVE, DAYTON, OH 45406-2645
(937) 276-8323
Mailing address
42471 GREENSIDE DR, ASHBURN, VA 20148-5668
(937) 305-9577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.008882
OH
Other
Enumeration date
05/03/2007
Last updated
02/11/2022
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