OMAR AYMAN SOUBANI (NPI# 1255995346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255995346 |
| Entity Type | Individual |
| Full Name | OMAR AYMAN SOUBANI |
| Credential | DO |
| Practice Address |
3901 Chrysler Service Drive Detroit MI 48201-2167 |
| Mailing Address |
27998 Trailwood Ct Farmington Hills MI 48331-2946 |
| Practice Telephone | 3135777523 |
| Practice Fax Number | 3135778823 |
| Mailing Telephone | 2487663041 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27998 Trailwood Ct, Farmington Hills, MI 483312946 | 2487663041 |
| Street Address |
3901 CHRYSLER SERVICE DRIVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386089571 | Jananie Kumaran | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Drive, Suite 5-a, 538-4, Detroit, MI 48201-2167 | 2013-05-02 |
| 1811518152 | Astian Waite | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Drive, 5-a, Detroit, MI 48201 | 2020-04-28 |
| 1184260143 | Lauren Marie Sexton | Social Worker | 3901 Chrysler Service Drive, Ste. 3b, Detroit, MI 48201-2167 | 2019-11-25 |
| 1639733678 | Cale Charles Streeter | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Drive, 5a, Detroit, MI 48201 | 2019-04-25 |
| 1538722962 | Eslam Fawzy Kersha | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Drive, Suite 5-a, Detroit, MI 48201 | 2019-04-22 |
| 1972090801 | Hiba Abu Suhaiban | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Drive, Suite 5-a, Detroit, MI 48201 | 2018-04-17 |
| 1316444797 | Huseyin Yavuz Ince | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Drive, Suite 5-a, Detroit, MI 48201 | 2018-04-11 |
| 1376040014 | Jody Wong | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Drive, Suite 5a, Detroit, MI 48201-2167 | 2018-04-10 |
| 1174029383 | Samantha E Perez | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Drive, Suite 5-a, Detroit, MI 48201 | 2018-04-05 |
| 1659877090 | Mahdy Ali Nassar | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Drive, Suite 5a, Detroit, MI 48201 | 2018-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912516790 | Omar Choudhury | Student in an Organized Health Care Education/Training Program | Henroy Ford Hospital, Medical Education Department ., 2799 W. Grand Boulevard, Detroit, MI 48202-2608 | 2020-07-28 |
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1932725959 | Devonn Eli Israil | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St Rm 2d, Detroit, MI 48201-2153 | 2020-06-25 |
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.