Individual
HATIM A OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5481
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-0617
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
34630
KY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD055065L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64346307
—
KY
Enumeration date
07/15/2006
Last updated
01/08/2021
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