Individual
OMMAR T HLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036091671
IL
2085R0001X
Radiation Oncology Physician
G158948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000503203
ANTHEM
IN
05
—
036091671 1
—
IL
01
—
09919437
JOHA BCBS
IL
01
—
209405012
MEDICARE-COOK NOMC
IL
01
—
214143
LUDAG-JOLIET
IL
01
—
214152
LUDAG-KANKAKEE
IL
01
—
749640013
MEDICARE-WILL NOSC
IL
01
—
8232230
BLUE CROSS BLUE SHIELD
IL
01
—
K31484
MEDICARE JOLIET
IL
01
—
K33087
MEDICARE-KANKAKEE
IL
01
—
K48414
MEDICARE INDIV ID# FOR GROUP 336140
IL
01
—
P00348399
RAIL ROAD MEDICARE
IL
Enumeration date
07/13/2006
Last updated
11/03/2021
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