Individual
DR. OMAR QAYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 E SUPERIOR ST # 9-2232, CHICAGO, IL 60611-2914
(312) 472-3585
Mailing address
15224 WEDDINGTON ST, SHERMAN OAKS, CA 91411-3945
(312) 472-3585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036160310
IL
207L00000X
Anesthesiology Physician
Primary
A186363
CA
Other
Enumeration date
03/30/2018
Last updated
05/03/2024
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