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

Omar Ayman Soubani, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255995346

Omar Ayman Soubani, DO is a Psychiatry in Detroit, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2019, 7 years ago. Practices with University Physician Group, a 402-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Detroit, MI
Fax: (313) 577-8823

Additional practice locations (1)

  • 27998 Trailwood Ct, Farmington Hills, MI 48331-2946 — (248) 766-3041

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 5101026891 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1255995346
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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