Doctor Name: | HASSAN OMAR |
NPI Number: | 1932566106 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 3055 Old Highway 8 Suite 101i St Anthony, MN - 554182500 |
Business Phone Number: | 6124231060 |
Business Fax Number: | |
Mailing Address: | 3055 Old Highway 8, Suite 101i ST ANTHONY |
State: | MN |
Postal Code: | 554182500 |
Phone Number: | 6124231060 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2016 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |