Provider Demographics
NPI:1699824474
Name:MEER, OMAR (MD)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:
Last Name:MEER
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 1:400 WARREN AVE
Mailing Address - Street 2:SUITE 01
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-3807
Mailing Address - Country:US
Mailing Address - Phone:401-438-7778
Mailing Address - Fax:401-438-9388
Practice Address - Street 1:400 WARREN AVE
Practice Address - Street 2:SUITE 01
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-3807
Practice Address - Country:US
Practice Address - Phone:401-438-7778
Practice Address - Fax:401-438-9388
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI10129207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRI 10129OtherSTATE LICENSE NUMBER
406511OtherBLUECHIP PROVIDER NUMBER
27528-2OtherBLUECROSS PROVIDER NUMBER
RI9002803Medicaid
7472011OtherAETNA NUMBER
0402659OtherUNITEDHEALTHCARE PROVIDER
3697942OtherCIGNA NUMBER
3697942OtherCIGNA NUMBER
0402659OtherUNITEDHEALTHCARE PROVIDER
RIBM6470380OtherDEA REGISTRATION NUMBER