Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD475683 | PA |
Y | 111NI0900X | Internist | MD475683 | PA |
NPI | 1003308289 |
---|---|
Provider Name | Omar Khaled Osman |
First Address | Pittsburgh, PA 15212-4775 |
Second Address | Pittsburgh, PA 15212-4775 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2018 |
Last Update Date | 25/01/2022 |