Provider Demographics
NPI:1962897264
Name:HORANI, OMAR NABIL (MD)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:NABIL
Last Name:HORANI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:OMAR
Other - Middle Name:NABIL
Other - Last Name:AL-HOURANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3000 ARLINGTON AVE STOP 1108
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2595
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614
Practice Address - Country:US
Practice Address - Phone:419-383-3829
Practice Address - Fax:419-383-2918
Is Sole Proprietor?:No
Enumeration Date:2015-04-02
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01083397A207R00000X
PAMD469850207R00000X
ORMD189133207R00000X
MI4301107990207R00000X
FLME166185207R00000X
IL36.16849207R00000X
TXU9271207R00000X
OH35.133434207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0301735Medicaid