Individual provider · NPI-1

Omar Al Dhaybi, M.D.

Internal Medicine, Nephrology · New York, NY

NPI number1013271535
StatusActive
Last updated in NPPESFeb 14, 2025

Details

NPI
1013271535
Entity type
Individual (NPI-1)
Name
Omar Al Dhaybi
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 28, 2012
Certification date
Feb 14, 2025
Last updated
Feb 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology328469NYYes
207RH0005X Internal Medicine, Hypertension Specialist328469NY

Practice location

1190 5th Ave
New York, NY 10029-6503

Phone 212-427-1540 · Fax 212-251-9114

Mailing address

1 Gustave L Levy Pl # 1118
New York, NY 10029-6504

Other practice locations

1 Gustave L Levy Pl
New York, NY 10029-6504

Phone 212-427-1540 · Fax 212-410-7196

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