Provider Demographics
NPI:1669649406
Name:QAHWASH, OMAR (DO)
Entity Type:Individual
Prefix:DR
First Name:OMAR
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Last Name:QAHWASH
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1575 RAMBLEWOOD DR
Mailing Address - Street 2:STE 200
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-6384
Mailing Address - Country:US
Mailing Address - Phone:517-827-1800
Mailing Address - Fax:517-827-1805
Practice Address - Street 1:1575 RAMBLEWOOD DR
Practice Address - Street 2:STE 200
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6384
Practice Address - Country:US
Practice Address - Phone:517-827-1800
Practice Address - Fax:517-827-1805
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2016-09-21
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Provider Licenses
StateLicense IDTaxonomies
MI5101015383207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery