Individual ProviderOmer AbdullahInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8988 Fern Park Dr, Burke, VA 22015-1635(703) 978-6061PECOS EnrollmentBased on the most recent information from CMS, provider Omer Abdullah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1821791534Provider TypeIndividualFull NameAbdullah, OmerCredentialMDGenderMaleSole ProprietorYesEnumeration Date3/22/2023Last Updated3/22/2023Contact InformationPractice LocationPractice Address8988 Fern Park Dr, Burke, VA 22015-1635Phone(703) 978-6061FaxUnlisted FaxMailing LocationMailing Address8988 Fern Park Dr, Burke, VA 22015-1635Phone(703) 978-6061FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101229820Virginia