Provider Demographics
NPI:1962716118
Name:OMEGA BILLING SERVICES INC
Entity type:Organization
Organization Name:OMEGA BILLING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YERLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUBAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-401-9128
Mailing Address - Street 1:615 W JOHNSON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-4531
Mailing Address - Country:US
Mailing Address - Phone:203-401-9128
Mailing Address - Fax:
Practice Address - Street 1:615 W JOHNSON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-4531
Practice Address - Country:US
Practice Address - Phone:203-401-9128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty