Individual
NIDAL BASSAM OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 MOBILE INFIRMARY CIR STE 410, MOBILE, AL 36607-3512
(251) 232-3314
Mailing address
3 MOBILE INFIRMARY CIR STE 410, MOBILE, AL 36607-3512
(251) 435-6850
(251) 435-6859
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD.36032
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
01/13/2023
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