Individual
MOHAMMAD MASIHUDDIN OMAR
Active
Individual
MOHAMMAD MASIHUDDIN OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
126621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00596667
—
NY
01
—
0086963
GHI
NY
01
—
040426014046
FIDELIS
NY
01
—
10024325
CDPHP
NY
01
—
126621-2
WC
NY
01
—
225115
MVP
NY
01
—
300021947
RAIL ROAD MEDICARE
NY
01
—
P010126621
BCBS
NY
Enumeration date
05/04/2006
Last updated
01/26/2012
Update your record
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