Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 61604 | MN |
Y | 207RH0003X | Hematology & Oncology | MD.36911 | AL |
NPI | 1306124813 |
---|---|
Provider Name | Omar Alkharabsheh |
First Address | Mobile, AL 36640-0430 |
Second Address | Mobile, AL 36604-1405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2011 |
Last Update Date | 31/01/2020 |