Individual ProviderOmar GhabraStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address13001 E 17th Place, Fitzsimons Building, 2nd Floor, Suite C2000, Aurora, CO 80045(303) 724-4940PECOS EnrollmentBased on the most recent information from CMS, provider Omar Ghabra is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 8:47 AM.Profile DetailsProvider ID1154179117Provider TypeIndividualFull NameGhabra, OmarCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/7/2024Last Updated5/7/2024Contact InformationPractice LocationPractice Address13001 E 17th Place, Fitzsimons Building, 2nd Floor, Suite C2000, Aurora, CO 80045Phone(303) 724-4940FaxUnlisted FaxMailing LocationMailing Address13001 E 17th Place, Fitzsimons Building, 2nd Floor, Suite C2000, Aurora, CO 80045Phone(303) 724-4940FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseTL.0010451Colorado