Dr. Omar Ezziddin, MD
Anesthesiology in Springfield, Massachusetts
1821232901- Practice location
- 908 Allen St, Springfield, MA 01118-2533
- Phone
- 413-796-7494
- Fax
- —
- Last updated
- November 27, 2023
Omar Ezziddin is an Anesthesiology based in Springfield, MA. Omar Ezziddin practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Omar Ezziddin is 1821232901 and holds a License No. 036131711 (IL). The current practice location address for Omar Ezziddin is 908 Allen St, Springfield, MA 01118-2533 and can be reached out via phone at 413-796-7494.
Provider Profile Details
- NPI Number
- 1821232901
- Provider Name
- Omar Ezziddin
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 908 Allen St, Springfield, MA 01118-2533
- Phone Number
- 413-796-7494
- Primary Taxonomy
- Anesthesiology · 207L00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 21, 2009
- Last Update Date
- November 27, 2023
- Certification Date
- November 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 908 Allen St
Springfield, MA 01118-2533 - City
- Springfield
- State
- Massachusetts
- Zip
- 01118-2533
- Phone Number
- 413-796-7494
Provider Business Mailing Address Details
- Address
- 908 Allen St
Springfield, MA 01118-2533 - City
- Springfield
- State
- MA
- Zip
- 01118-2533
License Information
- License Number (1)
- 036131711
- License State (1)
- IL
- Taxonomy (1)
- Anesthesiology · 207L00000X · Primary
- License Number (2)
- 036131711
- License State (2)
- IL
- Taxonomy (2)
- Anesthesiology, Pediatric Anesthesiology · 207LP3000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Omar Ezziddin, MD?
The NPI number of Dr. Omar Ezziddin, MD is 1821232901. It was assigned on April 21, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Omar Ezziddin, MD?
Dr. Omar Ezziddin, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in IL under license number 036131711.
Where does Dr. Omar Ezziddin, MD practice?
The practice location is 908 Allen St, Springfield, MA 01118-2533. The office can be reached at 413-796-7494 (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 1821232901 directly on the NPPES registry website.