Omallah Bush, AUD
Audiologist in Raleigh, North Carolina
1093719874- Practice location
- 4201 Lake Boone Trl Ste 105, Raleigh, NC 27607-7511
- Phone
- 919-782-7112
- Fax
- 919-789-9560
- Last updated
- November 5, 2026
Omallah Bush is an Audiologist based in Raleigh, NC. Omallah Bush practices in Raleigh, NC and has the professional credentials of AUD. The NPI Number for Omallah Bush is 1093719874 and holds a License No. 30005672 (NC). The current practice location address for Omallah Bush is 4201 Lake Boone Trl Ste 105, Raleigh, NC 27607-7511 and can be reached out via phone at 919-782-7112 and via fax at 919-789-9560.
Provider Profile Details
- NPI Number
- 1093719874
- Provider Name
- Omallah Bush
- Credential
- AUD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4201 Lake Boone Trl Ste 105, Raleigh, NC 27607-7511
- Phone Number
- 919-782-7112
- Fax Number
- 919-789-9560
- Primary Taxonomy
- Audiologist · 231H00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 9, 2005
- Last Update Date
- November 5, 2026
- Certification Date
- November 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4201 Lake Boone Trl Ste 105
Raleigh, NC 27607-7511 - City
- Raleigh
- State
- North Carolina
- Zip
- 27607-7511
- Phone Number
- 919-782-7112
- Fax Number
- 919-789-9560
Provider Business Mailing Address Details
- Address
- 580 Howard Ave
Somerset, NJ 08873-1113 - City
- Somerset
- State
- NJ
- Zip
- 08873-1113
License Information
- License Number
- 30005672
- License State
- NC
- Taxonomy
- Audiologist · 231H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Audiologists near Raleigh, NC
View all Audiologists in Raleigh →- Dr. Emery E Bulla, AUDAudiologist · NPI 1750959706
- Mrs. Leslie S Shaw, NPFamily Medicine · NPI 1720360746
- Dr. Justin R Blessing, DDSDentist, General Practice · NPI 1245574664
- Andrew D Staples, PA-CPhysician Assistant · NPI 1770833568
- Well America INCPsychologist, Clinical · NPI 1053074765
- Dishita S Pandya, MDInternal Medicine · NPI 1275022477
Frequently Asked Questions
What is the NPI number of Omallah Bush, AUD?
The NPI number of Omallah Bush, AUD is 1093719874. It was assigned on June 9, 2005 and is currently active in the NPPES registry.
What is the specialty of Omallah Bush, AUD?
Omallah Bush, AUD is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in NC under license number 30005672.
Where does Omallah Bush, AUD practice?
The practice location is 4201 Lake Boone Trl Ste 105, Raleigh, NC 27607-7511. The office can be reached at 919-782-7112 (phone) or 919-789-9560 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093719874 directly on the NPPES registry website.