Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Omar Basha, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831526573

Dr. Omar Basha, MD is a Neurology in Pontiac, Michigan. Qualified in 2012, 14 years ago. Practices with McLaren Port Huron, a 50-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone: (248) 858-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 4301104269 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831526573
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2013
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020
Mailing address4201 Saint Antoine St, Detroit, MI 48201-2153

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice McLaren Port Huron — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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