Basic Information
| Provider Information | |||||||||
| NPI: | 1225013972 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEHME | ||||||||
| FirstName: | OMAR | ||||||||
| MiddleName: | SAID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1293 | ||||||||
| Address2: | |||||||||
| City: | BEDFORD PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604991293 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2609691950 | ||||||||
| FaxNumber: | 2609182137 | ||||||||
| Practice Location | |||||||||
| Address1: | 8895 BROADWAY | ||||||||
| Address2: | |||||||||
| City: | MERRILLVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 464107037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2197382081 | ||||||||
| FaxNumber: | 2197364658 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2005 | ||||||||
| LastUpdateDate: | 04/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 01049531A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RG0100X | 01049531A | IN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 01049531A | 01 | IN | STATE LICENSE | OTHER | 01049531B | 01 | IN | CSR | OTHER | 000000381391 | 01 | IN | ANTHEM BC/BS | OTHER | P00325762 | 01 | IN | RAILROAD MEDICARE | OTHER | 9115389 | 01 | IL | ANTHEM BC/BS | OTHER |