Individual
OMAR HAMDALLAH
Active
Individual
OMAR HAMDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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