Individual
IRFAN OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
29877 TELEGRAPH RD, SUITE 400, SOUTHFIELD, MI 48034-1332
(248) 359-2370
(248) 799-2604
Mailing address
29877 TELEGRAPH RD, SUITE 301, SOUTHFIELD, MI 48034-1332
(248) 359-2370
(248) 799-2604
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301058644
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4076974
—
MI
Enumeration date
01/20/2006
Last updated
07/08/2007
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