MOHAMMAD MASIHUDDIN OMAR MD NPI 1588612550

NPI Information

NPI: 1588612550
Provider Name: MOHAMMAD MASIHUDDIN OMAR, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
185 GENESEE ST
SUITE 600
UTICA, NY
ZIP 13501
Phone: (315) 793-8806
Get Directions

Mohammad Masihuddin Omar, MD is a diagnostic radiology radiology in Utica, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mohammad Masihuddin Omar, MD NPI is 1588612550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

185 GENESEE ST
SUITE 600
UTICA, NY
ZIP 13501-199
Phone: (315) 793-8806
Fax: (315) 793-8046

The enumeration date for this NPI number is 5/4/2006 and was last updated on 1/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	126621	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0086963	OTHER	NEW YORK	GHI
2	300021947	OTHER	NEW YORK	RAIL ROAD MEDICARE
3	39162D	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
4	00596667	MEDICAID	NEW YORK
5	126621-2	OTHER	NEW YORK	WC
6	B82289	MEDICARE UPIN
7	10024325	OTHER	NEW YORK	CDPHP
8	P010126621	OTHER	NEW YORK	BCBS
9	225115	OTHER	NEW YORK	MVP
10	040426014046	OTHER	NEW YORK	FIDELIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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