Provider Demographics
NPI:1225217946
Name:OMEGA S PARIL MD PC
Entity Type:Organization
Organization Name:OMEGA S PARIL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OMEGA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-233-6938
Mailing Address - Street 1:2610 DAVISON RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48506-3651
Mailing Address - Country:US
Mailing Address - Phone:810-233-6938
Mailing Address - Fax:
Practice Address - Street 1:2610 DAVISON RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48506-3651
Practice Address - Country:US
Practice Address - Phone:810-233-6938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0102500242OtherBCBSM
MI101391220Medicaid
MI101391220Medicaid