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

Omar Abousoud, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457642019

Omar Abousoud, MD is a Diagnostic Radiology in Paoli, Pennsylvania. Graduated from Wright State University Boonshoft School of Medicine in 2011, 15 years ago. Practices with Radiology Associates of the Main Line P C, a 75-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
PA
In the registry since
2011
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

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone: (484) 565-1074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD465946 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457642019
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2011
Last updated in NPPESAugust 23, 2019
Mailing addressPo Box 678678, Dallas, TX 75267-8678

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Radiology Associates Of The Main Line P C — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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