Individual
DR. MARK D OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2429 M ST, OMAHA, NE 68107-2715
(402) 731-7333
(402) 614-5405
Mailing address
PO BOX 7365, OMAHA, NE 68107-0365
(402) 731-7333
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17837
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750490637
—
IA
05
—
47068731727
—
NE
Enumeration date
08/30/2006
Last updated
11/06/2023
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