Active NPI
Omar Soudan, MBBS
- Student in an Organized Health Care Education/Training Program
- Toledo, OH
National Provider Identifier
1548172430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2100 W Central Ave
Toledo, OH 43606-3800 - Phone
- (567) 420-1600
- Fax
- (567) 420-1630
- NPI assigned
- Sep 17, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2100 W Central Ave
Toledo, OH 43606-3800
Mailing address
2100 W Central Ave
Toledo, OH 43606-3800
Phone (567) 420-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1548172430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063800",
"telephone_number": "567-420-1600",
"fax_number": "567-420-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063800",
"telephone_number": "567-420-1600",
"fax_number": "567-420-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUDAN",
"first_name": "OMAR",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.