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Mr. Omar Abdul Qayyum Hasnie, DO
Emergency Medicine Physician in Fort Wayne, Indiana
NPI 1174767644

Omar Abdul Qayyum Hasnie is a Emergency Medicine Physician based in Fort Wayne, IN. Omar Abdul Qayyum Hasnie practices in Fort Wayne, IN and has the professional credentials of DO. The NPI Number for Omar Abdul Qayyum Hasnie is 1174767644 and holds a License No. (Indiana).

The current practice location address for Omar Abdul Qayyum Hasnie is 7950 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-203-9600 and via fax at 260-739-6167.

Location: 7950 W Jefferson Blvd, Fort Wayne, IN, 46825-1904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174767644
Provider Name
Omar Abdul Qayyum Hasnie
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
7950 W Jefferson Blvd, Fort Wayne, IN, 46825-1904
Phone Number
260-203-9600
Fax Number
260-739-6167
Provider Enumeration Date
04/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201112190 05 IN
000000816146 01 IN ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
7950 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4140
Phone Number
260-203-9600
Fax Number
260-739-6167
person
Provider Business Mailing Address Details
Address
7950 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4140
Phone Number
260-203-9600
Fax Number
260-739-6167
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
02004000A (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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