Individual
OMAR ELGHAWANMEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 23RD ST STE 400, ASHLAND, KY 41101-2880
(606) 408-2820
(606) 326-0235
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35.137125
OH
2084N0400X
Neurology Physician
Primary
48490
KY
2084N0400X
Neurology Physician
BP1-0039174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173050
—
OH
05
—
7100423270
—
KY
Enumeration date
07/02/2009
Last updated
05/20/2022
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