Active NPIIndividual provider

Omar Abousoud, MD

Radiology, Diagnostic Radiology in Paoli, Pennsylvania

NPI Number1457642019
Practice location
255 W Lancaster Ave, Paoli, PA 19301-1763
Fax
—
Last updated
August 23, 2019

Omar Abousoud is a Radiology, Diagnostic Radiology based in Paoli, PA. Omar Abousoud practices in Paoli, PA and has the professional credentials of MD. The NPI Number for Omar Abousoud is 1457642019 and holds a License No. MD465946 (PA). The current practice location address for Omar Abousoud is 255 W Lancaster Ave, Paoli, PA 19301-1763 and can be reached out via phone at 484-565-1074.

Provider Profile Details

NPI Number
1457642019
Provider Name
Omar Abousoud
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
255 W Lancaster Ave, Paoli, PA 19301-1763
Phone Number
484-565-1074
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2011
Last Update Date
August 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 W Lancaster Ave
Paoli, PA 19301-1763
City
Paoli
Zip
19301-1763
Phone Number
484-565-1074
Paoli, PA 19301Get directions →

Provider Business Mailing Address Details

Address
Po Box 678678
Dallas, TX 75267-8678
City
Dallas
State
TX
Zip
75267-8678
Phone Number
800-475-6112
Fax Number
423-826-1290

License Information

License Number (2)
MD465946
License State (2)
PA
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Omar Abousoud, MD?

The NPI number of Omar Abousoud, MD is 1457642019. It was assigned on April 29, 2011 and is currently active in the NPPES registry.

What is the specialty of Omar Abousoud, MD?

Omar Abousoud, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in PA under license number MD465946.

Where does Omar Abousoud, MD practice?

The practice location is 255 W Lancaster Ave, Paoli, PA 19301-1763. The office can be reached at 484-565-1074 (phone).

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 1457642019 directly on the NPPES registry website.

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