Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OMAR ALTANTAWI, MD
Deactivated Sole ProprietorDR. OMAR ALTANTAWI, MD is a Student (Health Education/Training) healthcare provider located in BATESVILLE, Arkansas. NPI 1689310088 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · BATESVILLE, AR
This NPI has been deactivated.
The record was deactivated on April 17, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1689310088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2022 (1.9398907103825 yrs)
- Last Updated
- May 14, 2024
- Deactivated
- Apr 17, 2024
- License
-
125.079467 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1710 HARRISON STBATESVILLE, AR, 725017303Browse AR providers · Browse ZIP 72501
- Phone
- 8702621200
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in BATESVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MR. SAMSON OLAITAN | MD | 1245409135 |
| ROGER PERREAULT | — | 1750816245 |
| DR. PHILIP SOBASH | MD | 1821550229 |
| DR. RIPSY JASSAL | MD | 1760945315 |
| DR. MARUF SARWAR | MD | 1366007973 |
| MADISON MAROUK | — | 1619580651 |
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.