Individual
OMAR ABUMAHFOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(404) 367-3014
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098104
MI
207R00000X
Internal Medicine Physician
80651
GA
207R00000X
Internal Medicine Physician
95577
SC
207R00000X
Internal Medicine Physician
A153288
CA
207R00000X
Internal Medicine Physician
ME118374
FL
207R00000X
Internal Medicine Physician
S2706
TX
208M00000X
Hospitalist Physician
80651
GA
208M00000X
Hospitalist Physician
Primary
ME118374
FL
208M00000X
Hospitalist Physician
S2706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012117600
—
FL
Enumeration date
08/28/2011
Last updated
09/30/2025
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