Provider Demographics
NPI:1215973581
Name:HAMEED, OMAR (MD)
Entity type:Individual
Prefix:
First Name:OMAR
Middle Name:
Last Name:HAMEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 744327
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4327
Mailing Address - Country:US
Mailing Address - Phone:816-276-4593
Mailing Address - Fax:816-276-4606
Practice Address - Street 1:2316 E MEYER BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1136
Practice Address - Country:US
Practice Address - Phone:816-276-4593
Practice Address - Fax:816-276-4606
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-40622207ZP0102X
MO2017044263207ZP0102X
TNMD46803207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009933236Medicaid
AL009933234Medicaid
AL051531309OtherBLUE CROSS
MS04055720OtherMISSISSIPPI MEDICAID
AL051531308OtherBLUE CROSS
ALI47303OtherVIVA
AL051531308Medicare ID - Type Unspecified