Omar Fahmy
Family Medicine in Monroe, LA. Individual provider (NPI-1).
NPI number1528731007
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1528731007
- Entity type
- Individual (NPI-1)
- Name
- Omar Fahmy
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2021
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD61506970 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4864 Jackson StMonroe, LA 71202-6400
Phone 318-675-5053
Mailing address
4864 Jackson StMonroe, LA 71202-6400
Phone 318-675-5053
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All 115 Family Medicine Physician providers in Monroe · All 4,700 providers in Monroe
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