Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OMAR W JASSIM, MD, PHD
ActiveDermatology · WENTZVILLE, MO
Registration Details
- NPI Number
- 1649397415
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2007 (19.078678523382 yrs)
- Last Updated
- Apr 25, 2024
- Licenses
-
2010011911 (MO)2010011911 (MO)2010011911 (MO)
Practice Information
- Address
-
1060 MEYER RDWENTZVILLE, MO, 633853800Browse MO providers · Browse ZIP 63385
- Phone
- 3142301500
- Fax
- 3142301122
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Dermatology
Other Dermatology Providers in WENTZVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| JAEYOUNG YOON | MD | 1205885563 |
| DR. KYLE J EASH | M.D. PH.D. | 1790072395 |
| DR. LINDSEY GRAVIETT | M.D. | 1235584822 |
| STACY GITTEL BLUM | D.O. | 1952757007 |
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.