Provider Demographics
NPI:1841272259
Name:OMAR, SABIHA JABEEN (MD)
Entity type:Individual
Prefix:DR
First Name:SABIHA
Middle Name:JABEEN
Last Name:OMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:28592 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 333
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2961
Mailing Address - Country:US
Mailing Address - Phone:248-865-7271
Mailing Address - Fax:248-865-7274
Practice Address - Street 1:28592 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 333
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2961
Practice Address - Country:US
Practice Address - Phone:248-865-7271
Practice Address - Fax:248-865-7274
Is Sole Proprietor?:No
Enumeration Date:2005-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010585052084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1058837OtherCIGNA
MI103488OtherVALUE OPTIONS
MI5904493OtherAETNA
MI103488OtherVALUE OPTIONS
MI1058837OtherCIGNA