Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OMAR KHAYYAM JOHNSON, HFA
Active Sole ProprietorCase Management Agency · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1245899186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2019 (6.8600545371495 yrs)
- Last Updated
- Jun 12, 2019
- License
-
14002332A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2735 ROTHE LNINDIANAPOLIS, IN, 462295517Browse IN providers · Browse ZIP 46229
- Phone
- 3175404294
- Fax
- 3174345908
- Primary Specialty
-
Case Management Agency
251B00000X
Other Case Management Agency Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| MARCUS JACKSON | — | 1245062900 |
| JAMAURIE DAVON LOCKETT | — | 1730916792 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.