Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2002-0310 | NM |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 2002-0310 | NM |
N | 207XS0117X | Orthopaedic Spine Surgeon | 2002-0310 | NM |
NPI | 1376594903 |
---|---|
Provider Name | Dr. Omar Nizar Osmani |
First Address | Roswell, NM 88201-4754 |
Second Address | Roswell, NM 88201-4754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 23/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
37026259 | (05) | NM |