Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Omar Al-Rusan, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1205409398

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

Licensed in
GA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 382-7120
Fax: (229) 353-7779
Show map & directions

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
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2021
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

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