Omar Abousoud, MD
Radiology, Diagnostic Radiology in Paoli, Pennsylvania
1457642019- Practice location
- 255 W Lancaster Ave, Paoli, PA 19301-1763
- Phone
- 484-565-1074
- Fax
- —
- Last updated
- August 23, 2019
Omar Abousoud, MD is a Radiology, Diagnostic Radiology based in Paoli, PA. Omar Abousoud, MD holds the professional credentials of MD. The NPI number for Omar Abousoud, MD is 1457642019 and holds license No. MD465946 (PA). The current practice location address is 255 W Lancaster Ave, Paoli, PA 19301-1763 and the office can be reached by phone at 484-565-1074. The NPI was assigned on April 29, 2011 and the record was last updated in NPPES on August 23, 2019.
●Provider Profile Details
- NPI Number
- 1457642019
- Provider Name
- Omar Abousoud
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Enumeration Date
- April 29, 2011
- Last Update Date
- August 23, 2019
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 255 W Lancaster Ave
Paoli, PA 19301-1763 - City
- Paoli
- State
- Pennsylvania
- ZIP
- 19301-1763
- Country
- US
- Phone Number
- 484-565-1074
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | — | — |
| Radiology, Diagnostic Radiology | 2085R0202X | Yes | MD465946 | PA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Paoli →?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) and holds license No. MD465946 (PA).
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 at npiregistry.cms.hhs.gov.