Individual provider · NPI-1

Omar Abdalla

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number1912893132
StatusActive
Last updated in NPPESApr 22, 2026

Details

NPI
1912893132
Entity type
Individual (NPI-1)
Name
Omar Abdalla
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2025
Certification date
Apr 22, 2026
Last updated
Apr 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1364 Clifton Rd Ne
Atlanta, GA 30322-1059

Phone 404-727-5658

Mailing address

49 Jesse Hill Jr Dr Se
Atlanta, GA 30303-3049

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Atlanta, GA