Individual
OMAR MULLA-OSSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 CEREAL AVE STE 212, HAMILTON, OH 45013-2776
(513) 867-2560
(513) 737-3389
Mailing address
1010 CEREAL AVE, SUITE 212, HAMILTON, OH 45013-2784
(513) 867-2560
(513) 737-3389
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35084454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200528730
—
IN
05
—
2484315
—
OH
05
—
64110406
—
KY
01
—
P00681246
RR MEDICARE
—
Enumeration date
07/11/2006
Last updated
04/23/2014
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