Provider Demographics
NPI:1184805681
Name:ABU-ROMEH, OMAR SALEH (MD)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:SALEH
Last Name:ABU-ROMEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1001 BELLEFONTAINE AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-2800
Mailing Address - Country:US
Mailing Address - Phone:419-998-4575
Mailing Address - Fax:419-998-4586
Practice Address - Street 1:1005 BELLEFONTAINE AVE STE 230
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-2882
Practice Address - Country:US
Practice Address - Phone:419-998-8255
Practice Address - Fax:419-226-8335
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021004968207R00000X
OH35.132944207R00000X
MO2006019866207R00000X
MI4301100278207RN0300X
KY54809207RN0300X
OH35132944207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine