Individual
OMAR HAMDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5233 KING AVE, SUITE 208, BALTIMORE, MD 21237-4001
(410) 918-1525
(410) 918-1526
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-3113
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D0077967
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
297413
EMPLOYER HEALTH PROGRAMS (EHP)
MD
01
—
380791ZK7S
MEDICARE
MD
01
—
4490 0002
CAREFIRST
DC
01
—
4490 0002
CAREFIRST
MD
01
—
740002100
MEDICAL ASSISTANCE
MD
01
—
N/A
MEDSTAR FAMILY CHOICE
MD
Enumeration date
06/11/2008
Last updated
05/30/2015
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