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

Dr. Omar Hasan

Individual provider General Practice Physician · NPI 1124681705

Dr. Omar Hasan is a General Practice Physician in Jackson, Mississippi. Licensed in Florida and Mississippi. Registered with an NPI since 2019.

Licensed in
FL, MS
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

2500 N State St # N408
Jackson, MS 39216-4500
Phone: (601) 984-2828
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence T-5146 (MS)
General Practice Physician Taxonomy 208D00000X · Licence ME160204 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124681705
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2019
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address4639 Kirkley Dr, Jackson, MS 39206-3301

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