Individual
OMAR HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22201 MOROSS RD, SUITE 356, DETROIT, MI 48236-2169
(313) 343-7444
(313) 343-7999
Mailing address
22201 MOROSS RD, SUITE 356, DETROIT, MI 48236-2169
(313) 343-7444
(313) 343-7999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.124511
IL
208600000X
Surgery Physician
4301074889
MI
208600000X
Surgery Physician
M7238
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301074889
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD60030929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8519936
—
WA
01
—
8AP703
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/16/2007
Last updated
10/27/2021
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