Provider Demographics
NPI:1073891412
Name:BANIHANI, OMAYA IBRAHIM (MD)
Entity Type:Individual
Prefix:DR
First Name:OMAYA
Middle Name:IBRAHIM
Last Name:BANIHANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OMAYA
Other - Middle Name:IBRAHIM
Other - Last Name:BANIHANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4401 PENN AVE
Mailing Address - Street 2:CHILDREN HOSPITAL OF PITTSBURGH
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1334
Mailing Address - Country:US
Mailing Address - Phone:302-377-5866
Mailing Address - Fax:
Practice Address - Street 1:400 OAK HILL DRIVE
Practice Address - Street 2:APT 202
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:302-377-5866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT2024142088P0231X
DEC7-0004880390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program