Individual
HESHAM OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 431-5380
(815) 431-5672
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 793-6140
(865) 560-8948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.144356
IL
208M00000X
Hospitalist Physician
01081207
IN
208M00000X
Hospitalist Physician
Primary
65482
MN
Other
Enumeration date
02/09/2011
Last updated
11/17/2021
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