Provider Demographics
NPI:1548260037
Name:PARIL, OMEGA S (MD)
Entity type:Individual
Prefix:DR
First Name:OMEGA
Middle Name:S
Last Name:PARIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 DAVISON RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48506-3651
Mailing Address - Country:US
Mailing Address - Phone:810-233-6938
Mailing Address - Fax:810-233-3552
Practice Address - Street 1:2610 DAVISON RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48506-3651
Practice Address - Country:US
Practice Address - Phone:810-233-6938
Practice Address - Fax:810-233-3552
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI038544207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0102500242OtherBCBSM PROVIDER NO.
MI101391220Medicaid
MI0250024Medicare PIN
MI0102500242OtherBCBSM PROVIDER NO.