Yazan Abu Omar, MD
Internal Medicine in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1942721758
StatusActive
Last updated in NPPESJan 26, 2024
Details
- NPI
- 1942721758
- Entity type
- Individual (NPI-1)
- Name
- Yazan Abu Omar
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2017
- Certification date
- Jan 26, 2024
- Last updated
- Jan 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 4301509425 | MI | Yes |
| 207R00000X | Internal Medicine | 125.069810 | IL |
Practice location
1500 E Medical Center DrAnn Arbor, MI 48109-3714
Phone 734-936-4000
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
Other practice locations
1901 W Harrison St
Chicago, IL 60612-3714
Chicago, IL 60612-3714
Phone 312-864-6000
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