Individual provider · NPI-1

Omar Samir Al-Taweel, MBBS

Internal Medicine, Interventional Cardiology · Springfield, MO

NPI number1619428307
StatusActive
Last updated in NPPESJul 5, 2026

Details

NPI
1619428307
Entity type
Individual (NPI-1)
Name
Omar Samir Al-Taweel
Credential
MBBS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 18, 2016
Certification date
Jul 5, 2026
Last updated
Jul 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0011X Internal Medicine, Interventional Cardiology2025029286MOYes
207RC0000X Internal Medicine, Cardiovascular Disease0101280767VA
207R00000X Internal MedicineBP10058500TX

Other names

  • Omar S Al-Taweel (Other Name)

Practice location

1235 E Cherokee St
Springfield, MO 65804-2203

Phone 417-820-3911

Mailing address

301 University Blvd
Galveston, TX 77555-0570

Phone 409-772-2653 · Fax 409-772-5462

Other practice locations

301 University Blvd
Galveston, TX 77555-0570

Phone 409-772-7063 · Fax 409-747-8579

301 Riverview Ave Ste 700
Norfolk, VA 23510-1065

Phone 757-252-9365 · Fax 757-962-7217

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