Individual
OMER ABDELRAHIM HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2115
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2115
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2020-04646
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/02/2016
Last updated
06/16/2021
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