Provider Demographics
NPI:1962157073
Name:ALABEID, OMER (OWNER)
Entity type:Individual
Prefix:
First Name:OMER
Middle Name:
Last Name:ALABEID
Suffix:
Gender:M
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 W MISSION LN APT 2004
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-2874
Mailing Address - Country:US
Mailing Address - Phone:602-585-8767
Mailing Address - Fax:
Practice Address - Street 1:2220 W MISSION LN APT 2004
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-2874
Practice Address - Country:US
Practice Address - Phone:602-585-8767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)