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

Omar Al-Rusan

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1205409398

Omar Al-Rusan is an Anatomic Pathology & Clinical Pathology Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone: (404) 712-5227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 13345 (GA)

Record details

NPI number1205409398
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address1364 Clifton Rd Ne, Atlanta, GA 30322-1059

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