Active NPIIndividual provider

Omar I Abu Su'Ud, MD

Student in an Organized Health Care Education/Training Program in Dallas, Texas

NPI Number1679156434
Practice location
1935 Medical District Dr, Dallas, TX 75235
Fax
—
Last updated
April 1, 2022

Omar I Abu Su'Ud, MD is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Omar I Abu Su'Ud, MD holds the professional credentials of MD. The NPI number for Omar I Abu Su'Ud, MD is 1679156434. The current practice location address is 1935 Medical District Dr, Dallas, TX 75235 and the office can be reached by phone at 844-424-4537. The NPI was assigned on April 29, 2021 and the record was last updated in NPPES on April 1, 2022.

●Provider Profile Details

NPI Number
1679156434
Provider Name
Omar Ismat Abu Su'Ud
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Sole Proprietor
No
Enumeration Date
April 29, 2021
Last Update Date
April 1, 2022
Certification Date
April 1, 2022
NPI Status
Active

◉Business Practice Location Address

Address
1935 Medical District Dr
Dallas, TX 75235
City
Dallas
State
Texas
ZIP
75235
Country
US
Phone Number
844-424-4537

Get directions →

✉Business Mailing Address

Address
1935 Medical District Dr
Dallas, TX 75235
City
Dallas
State
TX
ZIP
75235

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Student in an Organized Health Care Education/Training Program390200000XYes——

#Other Provider Identifiers

No legacy or other 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 I Abu Su'Ud, MD?

The NPI number of Omar I Abu Su'Ud, MD is 1679156434. It was assigned on April 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Omar I Abu Su'Ud, MD?

Omar I Abu Su'Ud, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Omar I Abu Su'Ud, MD practice?

The practice location is 1935 Medical District Dr, Dallas, TX 75235. The office can be reached at 844-424-4537 (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 1679156434 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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