Omar Abdelrahman, DDS Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Detroit, MI
- NPI
- 1053937086
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- License number
- 2901601045 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-06-25
- Last updated
- 2021-08-01
Practice location
4201 Saint Antoine St Rm 2d
Detroit, MI 48201-2153
(313) 745-4266