Dr. Omar Qayum, MD
Anesthesiology in Chicago, IL. Individual provider (NPI-1).
NPI number1669978680
StatusActive
Last updated in NPPESMay 3, 2024
Details
- NPI
- 1669978680
- Entity type
- Individual (NPI-1)
- Name
- Dr. Omar Qayum
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2018
- Certification date
- May 3, 2024
- Last updated
- May 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | A186363 | CA | Yes |
| 207L00000X | Anesthesiology | 036160310 | IL |
Practice location
250 E Superior St # 9-2232Chicago, IL 60611-2914
Phone 312-472-3585
Mailing address
15224 Weddington StSherman Oaks, CA 91411-3945
Phone 312-472-3585
Other practice locations
1300 N Vermont Ave
Los Angeles, CA 90027-6098
Los Angeles, CA 90027-6098
Phone 213-413-3000 · Fax 323-666-2939
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