Individual provider · NPI-1

Ahmed Khalid Al-Omari, MD

Pathology, Anatomic Pathology & Clinical Pathology · Indianapolis, IN

NPI number1962718494
StatusActive
Last updated in NPPESMay 8, 2025

Details

NPI
1962718494
Entity type
Individual (NPI-1)
Name
Ahmed Khalid Al-Omari
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 22, 2010
Certification date
May 8, 2025
Last updated
May 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology01077395AINYes
207ZD0900X Pathology, Dermatopathology01077395AIN
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathologycsp0050443CT
208600000X Surgery4301096192MI
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

350 W 11th St Rm 4040
Indianapolis, IN 46202-4108

Phone 317-491-6355 · Fax 317-491-6334

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Phone 888-484-3258

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