Look up the most recent NPI and PECOS records

Omar Rashad Davis

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as OMAR DAVIS.

Based on the most recent information from CMS, provider Omar Rashad Davis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1588767826
Provider Type
Individual
Full Name
Davis, Omar Rashad
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/5/2006
Last Updated
5/26/2022

Contact Information

Practice Location

2200 Union Ave, Memphis, TN 38104-4205

(901) 726-1130

(901) 726-1132

Mailing Location

2200 Union Ave, Memphis, TN 38104-4205

(901) 726-1130

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RN0300X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD0000036199 Tennessee

Omar Rashad Davis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Shah, Syed Muhammad Obaida

Showkat, Arif

Canada, Robert Bradley

Zabiullah, Syed M Faizaan

Asif Siddiqui, Omer

Wall, Barry M