Provider Demographics
NPI:1720786882
Name:ALOMRAN, HISHAM
Entity type:Individual
Prefix:
First Name:HISHAM
Middle Name:
Last Name:ALOMRAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4295 EXPRESS LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34249-2602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:81 AVE FOCH
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:PARIS
Practice Address - Zip Code:75016
Practice Address - Country:FR
Practice Address - Phone:063-012-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0687992080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine