National Provider Identifier
Mohamed Omar Atwaibi, M.D
Mohamed Omar Atwaibi, M.D is listed in the NPPES registry with a primary specialty of Nephrology Physician in Elmira, NY and a listed phone number of (607) 737-4339.
Profile Overview
- NPI
- 1558590067
- Provider Type
- Individual
- Primary Specialty
- Nephrology Physician
- Enumeration Date
- July 06, 2009
- Last Updated
- September 02, 2016
Practice Location
- 200 Madison Ave
- Suite 2C
- Elmira, NY 14901-3218
Phone: (607) 737-4339
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Nephrology Physician (207RN0300X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1558590067
- Entity Type
- Individual
- Last Name
- Atwaibi
- First Name
- Mohamed
- Middle Name
- Omar
- Credential
- M.D
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 200 Madison Ave
- Practice Address Line 2
- Suite 2C
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3218
- Practice Country
- US
- Practice Phone
- (607) 737-4339
- Practice Fax
- (607) 737-1519
- Enumeration Date
- July 06, 2009
- Last Updated
- September 02, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nephrology Physician (207RN0300X), Internal Medicine Physician (207R00000X)
- Other Identifiers
- 04013892 (NY), J400316995 (NY, Medicare Ptan)